Radient Pharmacy Llc

NPI 1114354982 - Pharmacy - 333600000X

NPI Details
NPI 1114354982
Enumeration Date 10/10/2013
Last Updated 10/26/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name INTSAR INTSAR
Position PRESIDENT
Phone (313) 846-7725
Fax
Practice Location
16902 W WARREN AVE
DETROIT MI, 48228-3505, US
Phone (313) 846-7725
Fax
Business Location
16902 W WARREN AVE
DETROIT MI, 48228-3505, US
Phone (313) 828-1009
Fax
Toxanomy
Taxonomy Code 333600000X
License State
License Number
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According to our database, Radient Pharmacy Llc NPI is 1114354982, taxonomy code is 333600000X Radient Pharmacy Llc physically located at 16902 W Warren Ave, Detroit MI, 48228-3505. NPI Number 1033115704 has the healthcare provider type.

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1114354982 NPI number is provided on an as is basis without warranty of any kind. 1114354982 is maintained by the National Plan & Provider Enumeration System. The contents of Radient Pharmacy Llc are for informational purposes only.