Advanced Care Pharmacy-em

NPI 1104171016 - Pharmacy - 3336L0003X

NPI Details
NPI 1104171016
Enumeration Date 07/17/2012
Last Updated 03/10/2016
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name WILLIAM WILLIAM
Position MANAGING MEMBER
Phone (313) 879-2057
Fax (313) 879-2058
Practice Location
2925 RUSSELL ST STE 100
DETROIT MI, 48207-4825, US
Phone (313) 879-2057
Fax (313) 879-2058
Business Location
50680 CORPORATE DR
SHELBY TWP MI, 48315-3107, US
Phone (586) 323-8280
Fax (586) 323-8283
Toxanomy
Taxonomy Code 3336L0003X
License State
License Number
Remove 1104171016 NPI Number
 

According to our database, Advanced Care Pharmacy-em NPI is 1104171016, taxonomy code is 3336L0003X Advanced Care Pharmacy-em physically located at 2925 Russell St Ste 100, Detroit MI, 48207-4825. NPI Number 1033115704 has the healthcare provider type.

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1104171016 NPI number is provided on an as is basis without warranty of any kind. 1104171016 is maintained by the National Plan & Provider Enumeration System. The contents of Advanced Care Pharmacy-em are for informational purposes only.