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General NPI Number Information
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NPI Number | 1841363975
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Entity Type | Organization
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Legal Business Name | SALEM'S PHARMACY INC.
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 11/10/2015
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Provider Practice Location Address
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Address Line | 313 ECORSE RD
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City | YPSILANTI
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State | MI
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Zip | 48198-5733
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Country | US
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Telephone | 734-487-8500
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Fax | 734-487-8502
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Provider Business Mailing Address
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Address Line | 313 ECORSE RD
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City | YPSILANTI
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State | MI
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Zip | 48198-5733
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Country | US
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Telephone | 734-487-8500
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Fax | 734-487-8502
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Authorized Official
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Title or Position | PHARMACIST MANAGER
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Name | MR. RIEAD S SALEM
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Credential | RPH
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Telephone | 734-487-8500
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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 | 5301005539
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License Number State | MI
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