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General NPI Number Information
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NPI Number | 1912459231
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Entity Type | Organization
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Legal Business Name | HELEN NEWBERRY JOY HOSPITAL PHARMACY
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Dates
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Enumeration Date | 11/03/2016
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Last Update Date | 11/03/2016
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Provider Practice Location Address
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Address Line | 502 W HARRIE ST
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City | NEWBERRY
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State | MI
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Zip | 49868-1209
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Country | US
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Telephone | 906-293-9221
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Fax | 906-293-9173
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Provider Business Mailing Address
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Address Line | 502 W HARRIE ST
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City | NEWBERRY
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State | MI
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Zip | 49868-1209
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Country | US
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Telephone | 906-293-9221
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Fax | 906-293-9173
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Authorized Official
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Title or Position | PHARMACY DIRECTOR
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Name | MARK FISCHER
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Credential |
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Telephone | 906-293-9221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional 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 | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 5301002573
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License Number State | MI
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