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General NPI Number Information
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NPI Number | 1740648203
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Entity Type | Organization
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Legal Business Name | SAVE-MART PHARMACY INC
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Dates
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Enumeration Date | 01/29/2016
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Last Update Date | 03/26/2018
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Provider Practice Location Address
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Address Line | 18330 W CHICAGO ST
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City | DETROIT
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State | MI
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Zip | 48228-1839
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Country | US
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Telephone | 313-635-5103
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Fax | 313-635-5132
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Provider Business Mailing Address
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Address Line | PO BOX 7327
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City | DEARBORN
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State | MI
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Zip | 48121-7327
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Country | US
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Telephone | 313-635-5103
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Fax | 313-635-5132
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | WADDAH MOHAMMED ALMATTERY
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Credential |
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Telephone | 313-635-5103
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 5301010910
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License Number State | MI
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