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General NPI Number Information
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NPI Number | 1710083803
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Entity Type | Organization
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Legal Business Name | RAM PHARMACY
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1343 E MI 36
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City | PINCKNEY
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State | MI
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Zip | 48169-8855
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Country | US
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Telephone | 734-878-3121
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Fax | 734-878-0171
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Provider Business Mailing Address
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Address Line | 1343 E MI 36
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City | PINCKNEY
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State | MI
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Zip | 48169-8855
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Country | US
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Telephone | 734-878-3121
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Fax | 734-878-0171
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Authorized Official
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Title or Position | PRESIDENT/PHARMACIST
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Name | MR. ROBERT PHIPPS
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Credential | RPH
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Telephone | 734-878-3121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 5301004098
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License Number State | MI
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