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General NPI Number Information
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NPI Number | 1962801373
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Entity Type | Organization
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Legal Business Name | APOLLO MEDICAL PHARMACY LLC
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Dates
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Enumeration Date | 08/21/2014
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 20250 WEST 7 MILE ROAD
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City | DETROIT
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State | MI
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Zip | 48219
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Country | US
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Telephone | 313-535-9755
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Fax |
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Provider Business Mailing Address
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Address Line | 20250 W 7 MILE RD
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City | DETROIT
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State | MI
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Zip | 48219-3469
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Country | US
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Telephone | 313-535-9755
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Fax |
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | DR. OMAR ABAZEED
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Credential | PHARMD
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Telephone | 313-535-9755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care 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 | 305S00000X
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Taxonomy Name | Point of Service
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License Number | 5315049752
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License Number State | MI
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