Organization
BLOSSOM CARE PHARMACY LLC
Active
Other names
BLOSSOM CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
IMANE ALZAROUI RPH (OWNER, PIC, AO)
(313) 377-0793
Entity
Organization
Contact information
Practice address
5250 AUTO CLUB DR STE 160, DEARBORN, MI 48126-2619
(313) 436-5513
(313) 436-5405
Mailing address
5250 AUTO CLUB DR STE 160, DEARBORN, MI 48126-2619
(313) 436-5513
(313) 436-5405
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301010768
MI
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2155809
PK
—
05
—
2381363
—
MI
Enumeration date
12/07/2015
Last updated
01/20/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us