Organization
SAV ON HOME HEALTH CARE SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW J MAC R.PH. (VICE PRESIDENT - PHARMACY OPERATION)
(734) 377-3154
Entity
Organization
Contact information
Practice address
35 N WALNUT ST, MOUNT CLEMENS, MI 48043-5610
(586) 468-0597
(586) 468-6732
Mailing address
34550 GLENDALE ST, LIVONIA, MI 48150-1304
(734) 377-3154
(734) 345-3525
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
5301008569
MI
3336C0003X
Community/Retail Pharmacy
Primary
5301008569
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000815917O
AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS AND PEDORTHOTICS INC
MI
01
—
2366157
NCPDP ID
—
05
—
2366157
—
MI
01
—
5301008569
PHARMACY LICENSE
MI
Enumeration date
05/13/2008
Last updated
03/07/2023
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