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General NPI Number Information
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NPI Number | 1952018418
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Entity Type | Organization
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Legal Business Name | HURON MARKET PHARMACY LLC
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Dates
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Enumeration Date | 11/03/2022
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Last Update Date | 11/03/2022
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Provider Practice Location Address
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Address Line | 1116 W HURON ST
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City | WATERFORD
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State | MI
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Zip | 48328-3734
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Country | US
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Telephone | 810-410-8461
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Fax | 248-507-4465
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Provider Business Mailing Address
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Address Line | 6126 QUARTZ LN
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City | GRAND BLANC
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State | MI
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Zip | 48439-7822
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Country | US
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Telephone | 810-410-8461
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Fax | 248-507-4465
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. BIMAL C PATEL
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Credential |
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Telephone | 810-410-8461
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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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