# RXPERTS PHARMACY MICHIGAN LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** RXPERTS PHARMACY MICHIGAN LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023287422
- **Authorized official:** ROBERT GIBBER (CEO)
- **Authorized official phone:** (312) 656-0882

## Contact information

- **Practice address:** 9131 GENERAL CT, STE 150, PLYMOUTH, MI 48170-4621
- **Practice address phone:** (734) 416-1717
- **Practice address fax:** (855) 288-6108
- **Mailing address:** 9131 GENERAL CT, STE 150, PLYMOUTH, MI 48170-4621
- **Mailing address phone:** (734) 451-5278
- **Mailing address fax:** (734) 451-5907

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 5301008829 | MI | — |
| 3336L0003X | Long Term Care Pharmacy | 64001242A | IN | Yes |

## Other

- **Enumeration date:** 02/29/2008
- **Last updated:** 03/19/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2370889 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |
| 05 | — | P008009737 | — | MI |