Organization
COLLIE DRUGS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMI K SHIMOON RPH (PARMACIST)
(586) 776-6122
Entity
Organization
Contact information
Practice address
21728 HARPER AVE, SAINT CLAIR SHORES, MI 48080-2216
(586) 776-6122
(586) 776-6551
Mailing address
21728 HARPER AVE, SAINT CLAIR SHORES, MI 48080-2216
(586) 776-6122
(586) 776-6551
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
0679600001
MI
333600000X
Pharmacy
5301005916
MI
3336C0003X
Community/Retail Pharmacy
Primary
5301005916
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2965513
—
MI
Enumeration date
01/26/2007
Last updated
10/14/2015
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