# PLYMOUTH PHARMACY GROUP INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609410182
- **Authorized official:** MIHAELA BURNEA-BRAZDAU (CEO)
- **Authorized official phone:** (734) 667-4563

## Contact information

- **Practice address:** 39475 ANN ARBOR RD E, PLYMOUTH, MI 48170-4524
- **Practice address phone:** (734) 667-4563
- **Practice address fax:** (888) 305-1287
- **Mailing address:** 39475 ANN ARBOR RD E, PLYMOUTH, MI 48170-4524

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 10/29/2019
- **Last updated:** 11/02/2020