# HERITAGE PHARMACY SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Heritage Pharmacy Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073753281
- **Authorized official:** RAJAN PATEL (OWNER)
- **Authorized official phone:** (734) 981-7340

## Contact information

- **Practice address:** 21674 MELROSE AVE, SOUTHFIELD, MI 48075-7905
- **Practice address phone:** (248) 416-1310
- **Practice address fax:** (248) 416-1316
- **Mailing address:** 21674 MELROSE AVE, SOUTHFIELD, MI 48075-7905
- **Mailing address phone:** (248) 416-1310
- **Mailing address fax:** (248) 416-1316

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 5301009065 | MI | Yes |

## Other

- **Enumeration date:** 02/27/2009
- **Last updated:** 11/20/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2119401 | PK | — |