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General NPI Number Information
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NPI Number | 1992520787
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Entity Type | Organization
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Legal Business Name | DELTON FAMILY PHARMACY INC
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Dates
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Enumeration Date | 11/18/2024
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 338 N GROVE ST
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City | DELTON
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State | MI
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Zip | 49046-9601
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Country | US
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Telephone | 269-623-5250
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 190
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City | DELTON
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State | MI
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Zip | 49046-0190
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHARMACIST/OWNER
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Name | MICHAEL A HOLTZ
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Credential |
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Telephone | 269-792-3790
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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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