Organization
DORT PHARMACY LLC
Active
Other names
medicap pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HITESH PATEL (PHARMACIST)
(810) 444-4048
Entity
Organization
Contact information
Practice address
915 S DORT HWY, FLINT, MI 48503-2800
(810) 233-5900
(810) 233-5901
Mailing address
PO BOX 48, FLINT, MI 48501-0048
(810) 444-4048
(810) 233-5901
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301009470
MI
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2374786
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/22/2010
Last updated
02/22/2011
About Stedi
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