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NPI 1740364959

NPI 1740364959 : ARFSTROM PHARMACIES INC : SAULT SAINTE MARIE, MI

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General NPI Number Information
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    NPI Number           |    1740364959
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    Entity Type          |    Organization 
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    Legal Business Name  |    ARFSTROM PHARMACIES INC 
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Dates
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    Enumeration Date     |    10/24/2006
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    Last Update Date     |    04/12/2023
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Provider Practice Location Address
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    Address Line         |    415 ASHMUN ST 
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    City                 |    SAULT SAINTE MARIE
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    State                |    MI
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    Zip                  |    49783-1905
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    Country              |    US
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    Telephone            |    906-632-9661
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    Fax                  |    906-632-2959
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Provider Business Mailing Address
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    Address Line         |    415 ASHMUN ST 
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    City                 |    SAULT SAINTE MARIE
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    State                |    MI
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    Zip                  |    49783-1905
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    Country              |    US
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    Telephone            |    906-632-9661
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    Fax                  |    906-632-2959
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Authorized Official
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    Title or Position    |    OWNER, PRESIDENT, AO
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    Name                 |     ANDREW  MCMILLAN 
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    Credential           |    
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    Telephone            |    906-632-9661
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    333600000X
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    Taxonomy Name        |    Pharmacy
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    3336C0004X
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    Taxonomy Name        |    Compounding Pharmacy
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    5301001131
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    License Number State |    MI
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