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Organization

ALLIANCE SPECIALTY PHARMACY LLC

Active
Other names
Alliance Specialty Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
PRITESH RAY PHARMD (PHARMACY MANAGER/OWNER)
(248) 230-8044
Entity
Organization

Contact information

Practice address
25301 VAN DYKE AVE, CENTER LINE, MI 48015-1425
(248) 230-8044
(248) 230-8045
Mailing address
25301 VAN DYKE AVE, CENTER LINE, MI 48015-1425
(248) 230-8044
(248) 230-8045

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
06/26/2017
Last updated
11/01/2017
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