Organization
HERITAGE PHARMACY SERVICES INC
Active
Other names
Heritage Pharmacy Services
Organization subpart
No
Provider details
NPI number
Authorized official
RAJAN PATEL (OWNER)
(734) 981-7340
Entity
Organization
Contact information
Practice address
21674 MELROSE AVE, SOUTHFIELD, MI 48075-7905
(248) 416-1310
(248) 416-1316
Mailing address
21674 MELROSE AVE, SOUTHFIELD, MI 48075-7905
(248) 416-1310
(248) 416-1316
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
5301009065
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2119401
PK
—
Enumeration date
02/27/2009
Last updated
11/20/2015
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