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Organization
WALNUT ASSOCIATES I LLC
Active
Organization
WALNUT ASSOCIATES I LLC
Active
Other names
West Grange Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM NEWMAN (CEO)
(248) 354-0282
Entity
Organization
Contact information
Practice address
3390 WEST RD, TRENTON, MI 48183-2323
(734) 676-6622
(734) 676-4166
Mailing address
3390 WEST RD, TRENTON, MI 48183-2323
(734) 676-6622
(734) 676-4166
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2308054
NCPDP
—
05
—
2308054
—
MI
Enumeration date
07/03/2021
Last updated
07/03/2021
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