Pine Knob Pharmacy 5 Inc

NPI 1063520435 - Pharmacy - 3336C0003X

NPI Details
NPI 1063520435
Enumeration Date 08/27/2006
Last Updated 04/15/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name STEPHEN STEPHEN
Position MANAGER PHARMACY SERVICES
Phone (248) 620-5222
Fax (248) 625-0314
Practice Location
10740 DIXIE HWY
DAVISBURG MI, 48350-1123, US
Phone (248) 620-5222
Fax (248) 625-0314
Business Location
43155 W 9 MILE RD
NOVI MI, 48375-4190, US
Phone
Fax
Toxanomy
Taxonomy Code 3336C0003X
License State Michigan
License Number 5301007729
Remove 1063520435 NPI Number
 

According to our database, Pine Knob Pharmacy 5 Inc NPI is 1063520435, taxonomy code is 3336C0003X and license number is 5301007729, license state is located at Michigan. Pine Knob Pharmacy 5 Inc physically located at 10740 Dixie Hwy, Davisburg MI, 48350-1123. NPI Number 1033115704 has the healthcare provider type.

1063520435 NPI number is provided on an as is basis without warranty of any kind. 1063520435 is maintained by the National Plan & Provider Enumeration System. The contents of Pine Knob Pharmacy 5 Inc are for informational purposes only.