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General NPI Number Information
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NPI Number | 1841247996
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Entity Type | Organization
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Legal Business Name | MICHAEL'S PHARMACY
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 203 CENTRAL DR
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City | EAST DUBLIN
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State | GA
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Zip | 31027-7407
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Country | US
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Telephone | 478-274-8876
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Fax | 478-272-9890
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Provider Business Mailing Address
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Address Line | PO BOX 13269
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City | EAST DUBLIN
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State | GA
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Zip | 31027-2800
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Country | US
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Telephone | 478-274-8876
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Fax | 478-272-9890
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL ROYCE WILLIAMS
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Credential | RPH
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Telephone | 478-274-8876
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 17327
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License Number State | GA
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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 |
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License Number State |
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