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Organization

MI CARE PHARMACY LLC

Active
Other names
Mi Care Pharmacy II
Organization subpart
No

Provider details

NPI number
Authorized official
RENU PATHAK (OWNER,AO)
(443) 783-5539
Entity
Organization

Contact information

Practice address
33 CHURCH ST, MOUNT CLEMENS, MI 48043-2331
(586) 447-8777
(586) 447-8902
Mailing address
33 CHURCH ST, MOUNT CLEMENS, MI 48043-2331
(586) 447-8777
(586) 447-8902

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301010681
MI
3336C0004X
Compounding Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2152207
PK
Enumeration date
05/29/2015
Last updated
07/27/2015
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