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General NPI Number Information
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NPI Number | 1730362187
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Entity Type | Organization
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Legal Business Name | POWERS RX PHARMACY
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Dates
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Enumeration Date | 12/07/2007
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Last Update Date | 10/22/2008
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Provider Practice Location Address
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Address Line | 19230 HARPER AVE
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City | HARPER WOODS
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State | MI
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Zip | 48225-2211
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Country | US
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Telephone | 313-343-9909
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Fax | 313-343-9915
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Provider Business Mailing Address
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Address Line | 19230 HARPER AVE
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City | HARPER WOODS
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State | MI
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Zip | 48225-2211
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GODWIN EKPENE
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Credential |
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Telephone | 313-300-1996
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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 | 5301008749
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License Number State | MI
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