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General NPI Number Information
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NPI Number | 1912007501
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Entity Type | Organization
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Legal Business Name | R.A. MACRAE FRANKFORT, INC.
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Dates
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Enumeration Date | 09/23/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 401 MAIN STREET
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City | FRANKFORT
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State | MI
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Zip | 49635-9142
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Country | US
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Telephone | 231-352-4471
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Fax | 231-352-4041
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Provider Business Mailing Address
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Address Line | P.O. BOX 753
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City | FRANKFORT
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State | MI
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Zip | 49635-0753
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Country | US
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Telephone | 231-352-4471
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Fax | 231-352-4041
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RICHARD ANDREWS MACRAE II
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Credential | RPH
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Telephone | 231-352-4471
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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 | 5301006775
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License Number State | MI
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