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General NPI Number Information
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NPI Number | 1992295422
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Entity Type | Organization
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Legal Business Name | VICTORY PHARMACY 2 PLLC
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Dates
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Enumeration Date | 05/10/2018
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 14601 W 8 MILE RD
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City | DETROIT
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State | MI
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Zip | 48235-1621
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Country | US
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Telephone | 313-340-9799
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Fax | 313-340-9326
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Provider Business Mailing Address
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Address Line | 14601 W 8 MILE RD
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City | DETROIT
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State | MI
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Zip | 48235-1621
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Country | US
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Telephone | 313-342-5051
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Fax | 734-495-9555
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Authorized Official
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Title or Position | PIC
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Name | OBINNA AKUBUKWE
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Credential |
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Telephone | 313-608-4170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | 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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 5301011380
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License Number State | MI
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