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Organization
HERITAGE PHARMACY SERVICES INC
Active
Organization
HERITAGE PHARMACY SERVICES INC
Active
Other names
Heritage Pharmacy Services
Organization subpart
No
Provider details
NPI number
Authorized official
RAJAN PATEL (OWNER)
(734) 981-7340
Entity
Organization
Contact information
Practice address
21674 MELROSE AVE, SOUTHFIELD, MI 48075-7905
(248) 416-1310
(248) 416-1316
Mailing address
21674 MELROSE AVE, SOUTHFIELD, MI 48075-7905
(248) 416-1310
(248) 416-1316
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
5301009065
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2119401
PK
—
Enumeration date
02/27/2009
Last updated
11/20/2015
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