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General NPI Number Information
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NPI Number | 1851961502
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Entity Type | Organization
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Legal Business Name | BROTHERS 2 PHARMACY LLC
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Dates
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Enumeration Date | 06/25/2021
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Last Update Date | 12/24/2024
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Provider Practice Location Address
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Address Line | 4801 FENTON RD
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City | FLINT
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State | MI
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Zip | 48507
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Country | US
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Telephone | 810-820-8685
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Fax |
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Provider Business Mailing Address
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Address Line | 4801 FENTON RD
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City | FLINT
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State | MI
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Zip | 48507-3321
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Country | US
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Telephone | 810-820-8685
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Fax |
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Authorized Official
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Title or Position | PIC / MANAGER
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Name | MR. MEHULKUMAR V SUREJA
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Credential |
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Telephone | 201-314-8152
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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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