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General NPI Number Information
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NPI Number | 1841515848
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Entity Type | Organization
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Legal Business Name | CLINICAL PHARMACY CONSULTANT PC
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Dates
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Enumeration Date | 04/01/2010
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Last Update Date | 02/05/2011
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Provider Practice Location Address
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Address Line | 8810 MIDDLEBELT RD SUIT # 2
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City | LIVONIA
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State | MI
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Zip | 48150-4052
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Country | US
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Telephone | 888-847-3088
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Fax | 877-999-0987
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Provider Business Mailing Address
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Address Line | PO BOX 225 DR. MOHAMAD MAKKI
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City | DEARBORN
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State | MI
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Zip | 48121-0225
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Country | US
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Telephone | 888-847-3088
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Fax | 877-999-0987
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. MOHAMAD MAKKI
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Credential |
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Telephone | 888-847-3088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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