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General NPI Number Information
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NPI Number | 1730078577
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Entity Type | Organization
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Legal Business Name | LIVONIA FAMILY PHARMACY LLC
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Dates
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Enumeration Date | 06/27/2025
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 15983 MIDDLEBELT RD
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City | LIVONIA
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State | MI
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Zip | 48154-3311
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Country | US
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Telephone | 734-744-7636
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Fax |
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Provider Business Mailing Address
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Address Line | 15983 MIDDLEBELT RD
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City | LIVONIA
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State | MI
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Zip | 48154-3311
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Country | US
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Telephone | 734-744-7636
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ARJUN AJBANI
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Credential |
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Telephone | 734-744-7636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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