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General NPI Number Information
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NPI Number | 1871913640
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Entity Type | Organization
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Legal Business Name | HOOVER DRUGS LLC
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Dates
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Enumeration Date | 04/21/2014
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Last Update Date | 07/12/2016
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Provider Practice Location Address
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Address Line | 28675 HOOVER RD
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City | WARREN
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State | MI
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Zip | 48093-4152
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Country | US
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Telephone | 586-522-4334
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Fax | 586-920-2678
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Provider Business Mailing Address
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Address Line | 28675 HOOVER RD
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City | WARREN
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State | MI
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Zip | 48093-4105
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Country | US
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Telephone | 586-522-4334
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Fax | 586-920-2678
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Authorized Official
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Title or Position | PHARMACIST
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Name | PRAKASH SATYA-MURHTY GERA
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Credential | R.PH
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Telephone | 586-522-4334
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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 | 5301010412
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License Number State | MI
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