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Organization
MEDEX DIRECT
Active
Organization
MEDEX DIRECT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLYDE FURUTA RPH (PHARMACIST)
(877) 899-6337
Entity
Organization
Contact information
Practice address
23247 PINEWOOD ST, SUITE B, WARREN, MI 48091-4754
(877) 899-6337
(877) 899-6360
Mailing address
23247 PINEWOOD ST, SUITE B, WARREN, MI 48091-4754
(877) 899-6337
(877) 899-6360
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302023127
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2363048
NABP
MI
Enumeration date
09/06/2006
Last updated
08/22/2020
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