Organization
ORCHARD TRAILS LLC
Active
Other names
Orchard Trails Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
STAVROS TRIANT (MEMBER)
(248) 516-3566
Entity
Organization
Contact information
Practice address
23133 ORCHARD LAKE RD STE 101, FARMINGTON, MI 48336-3278
(248) 516-3566
(248) 516-3564
Mailing address
23133 ORCHARD LAKE RD STE 101, FARMINGTON, MI 48336-3278
(248) 516-3566
(248) 516-3564
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
01/24/2020
Last updated
06/12/2023
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