Organization
CMS PHARMACY INC
Active
Other names
CMS Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHARLENE SHAYA (VICE PRESIDENT)
(248) 896-6203
Entity
Organization
Contact information
Practice address
50496 PONTIAC TRL, SUITE 1300, WIXOM, MI 48393-2027
(248) 896-6203
(248) 960-7889
Mailing address
50496 PONTIAC TRL, SUITE 1300, WIXOM, MI 48393-2027
(248) 896-6203
(248) 960-7889
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
5301008689
MI
Other
Enumeration date
08/31/2007
Last updated
09/06/2007
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