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Organization
MIJ LLC
Active
Organization
MIJ LLC
Active
Other names
Tri-State Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAKIR MEGHANI MD (CEO)
(334) 669-8622
Entity
Organization
Contact information
Practice address
2812 HARTFORD HWY, SUITE 1, DOTHAN, AL 36305-4927
(334) 712-1170
(334) 712-1170
Mailing address
2812 HARTFORD HWY, SUITE 1, DOTHAN, AL 36305-4927
(334) 712-1170
(334) 712-1170
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
06/27/2013
Last updated
04/08/2014
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