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General NPI Number Information
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NPI Number | 1700768207
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Entity Type | Organization
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Legal Business Name | UNIVERSITY COMMONS PHARMACY
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Dates
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Enumeration Date | 07/24/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 6301 UNIVERSITY COMMONS STE 500
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City | SOUTH BEND
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State | IN
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Zip | 46635-1478
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Country | US
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Telephone | 574-273-2000
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Fax | 574-273-2000
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Provider Business Mailing Address
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Address Line | 6301 UNIVERSITY COMMONS STE 500
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City | SOUTH BEND
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State | IN
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Zip | 46635-1478
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Country | US
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Telephone | 574-273-2000
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Fax | 574-273-2000
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Authorized Official
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Title or Position | OWNER
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Name | RAGHID KADI
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Credential | R.PH.
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Telephone | 574-273-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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