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General NPI Number Information
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NPI Number | 1811811706
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Entity Type | Organization
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Legal Business Name | MEDWELL PHARMACY LLC
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Dates
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Enumeration Date | 08/05/2026
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Last Update Date | 08/05/2026
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Provider Practice Location Address
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Address Line | 16551 W WAREN AVE
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City | DETROIT
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State | MI
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Zip | 48228
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Country | US
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Telephone | 313-283-6902
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Fax |
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Provider Business Mailing Address
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Address Line | 16551 W WARREN AVE
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City | DETROIT
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State | MI
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Zip | 48228-3706
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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 | ADAM QAYED
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Credential |
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Telephone | 313-283-6902
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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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