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General NPI Number Information
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NPI Number | 1750262416
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Entity Type | Organization
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Legal Business Name | RIVERFRONT PHARAMCY LLC
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Dates
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Enumeration Date | 09/09/2025
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 3941 24TH AVE STE B
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City | FORT GRATIOT
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State | MI
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Zip | 48059-4102
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Country | US
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Telephone | 810-479-9677
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Fax |
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Provider Business Mailing Address
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Address Line | 3941 24TH AVE STE B
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City | FORT GRATIOT
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State | MI
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Zip | 48059-4102
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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 | PHARMACIST IN CHARGE
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Name | ANWAR ALMAISARI
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Credential | RPH
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Telephone | 313-240-2692
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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 |
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License Number State |
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