# FENTON PHARMACY LLC

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

## Provider details

- **NPI number:** 1922690064
- **Authorized official:** MANISH PATEL (PHARMACY OWNER)
- **Authorized official phone:** (810) 354-5800

## Contact information

- **Practice address:** 305 N LEROY ST STE A, FENTON, MI 48430-2729
- **Practice address phone:** (810) 354-8500
- **Practice address fax:** (810) 354-5803
- **Mailing address:** 305 N LEROY ST STE A, FENTON, MI 48430-2729
- **Mailing address phone:** (810) 354-8500
- **Mailing address fax:** (810) 354-5803

## Taxonomy

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

## Other

- **Enumeration date:** 02/10/2021
- **Last updated:** 05/30/2023