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NPI 1932845195

NPI 1932845195 : APOLLO PHARMACY OF SHELBY, INC : MACOMB, MI

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General NPI Number Information
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    NPI Number           |    1932845195
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    Entity Type          |    Organization 
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    Legal Business Name  |    APOLLO PHARMACY OF SHELBY, INC 
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Dates
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    Enumeration Date     |    05/10/2022
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    Last Update Date     |    02/07/2023
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Provider Practice Location Address
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    Address Line         |    46591 ROMEO PLANK RD STE 125 
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    City                 |    MACOMB
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    State                |    MI
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    Zip                  |    48044-5743
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    Country              |    US
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    Telephone            |    586-960-5511
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    46591 ROMEO PLANK RD STE 125 
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    City                 |    MACOMB
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    State                |    MI
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    Zip                  |    48044-5743
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    Country              |    US
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    Telephone            |    586-960-5511
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    Fax                  |    586-325-2939
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Authorized Official
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    Title or Position    |    MANAGER
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    Name                 |    MR. NEHALKUMAR RANJIT PATEL 
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    Credential           |    
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    Telephone            |    586-960-5511
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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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