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General NPI Number Information
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NPI Number | 1811005275
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Entity Type | Organization
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Legal Business Name | WARREN PRESCRIPTIONS, INC
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Dates
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Enumeration Date | 08/27/2006
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Last Update Date | 10/11/2012
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Provider Practice Location Address
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Address Line | 32910 MIDDLEBELT ROAD
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334
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Country | US
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Telephone | 248-855-1177
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Fax | 248-855-6661
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Provider Business Mailing Address
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Address Line | 32910 MIDDLEBELT ROAD
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334
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Country | US
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Telephone | 248-855-1177
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Fax | 248-855-6661
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Authorized Official
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Title or Position | RPH IN CHARGE
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Name | ANDREW M. GROOMAN
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Credential | RPH
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Telephone | 248-855-1177
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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 | 5301003210
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License Number State | MI
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