Organization
RXPERTS PHARMACY MICHIGAN LLC
Active
Other names
RXPERTS PHARMACY MICHIGAN LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT GIBBER (CEO)
(312) 656-0882
Entity
Organization
Contact information
Practice address
9131 GENERAL CT, STE 150, PLYMOUTH, MI 48170-4621
(734) 416-1717
(855) 288-6108
Mailing address
9131 GENERAL CT, STE 150, PLYMOUTH, MI 48170-4621
(734) 451-5278
(734) 451-5907
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
5301008829
MI
3336L0003X
Long Term Care Pharmacy
Primary
64001242A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2370889
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
P008009737
—
MI
Enumeration date
02/29/2008
Last updated
03/19/2013
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