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General NPI Number Information
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NPI Number | 1902982697
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Entity Type | Organization
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Legal Business Name | SMIDI DRUGS INC
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 02/14/2017
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Provider Practice Location Address
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Address Line | 23032 E MAIN ST
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City | ARMADA
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State | MI
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Zip | 48005-4705
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Country | US
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Telephone | 586-784-9222
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Fax | 586-784-8864
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Provider Business Mailing Address
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Address Line | 23032 E MAIN ST P O BOX 901
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City | ARMADA
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State | MI
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Zip | 48005-4705
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Country | US
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Telephone | 586-784-9222
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HUSSEIN SMIDI
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Credential | RPH
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Telephone | 586-784-9222
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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 | 5301008796
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License Number State | MI
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