Organization
BOCA RIDGE ENTERPRISES
Active
Other names
sussex pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW MERVIN EFRUSY RPH (CHIEF RPH/OWNER)
(586) 757-6505
Entity
Organization
Contact information
Practice address
22835 VAN DYKE AVE, WARREN, MI 48089-2356
(586) 757-6505
(586) 757-7785
Mailing address
22835 VAN DYKE AVE, WARREN, MI 48089-2356
(586) 757-6505
(586) 757-7785
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/14/2008
Last updated
02/14/2008
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