Organization
SAV ON HOME HEALTHCARE SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW J MAC R.PH. (VICE PRESIDENT - PHARMACY OPERATION)
(734) 377-3154
Entity
Organization
Contact information
Practice address
8900 MACOMB ST, GROSSE ILE, MI 48138-1577
(734) 676-6000
(734) 676-7076
Mailing address
21120 BRIDGE ST, SOUTHFIELD, MI 48033-4032
(248) 357-4550
(248) 357-2332
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301006103
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2353441
NCPDP IDENTIFICATION NUMBER
MI
05
—
4838940
—
MI
01
—
5301006103
MICHIGAN PHARMACY LICENSE
MI
01
—
540H219260
MICHIGAN BLUE CROSS BLUE SHIELD DME PROVIDER
MI
Enumeration date
06/05/2008
Last updated
03/07/2023
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