Organization
PRIMEMART PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEESHA D PARRISH RN (OWNER)
(248) 961-4249
Entity
Organization
Contact information
Practice address
27177 LAHSER RD, SUITE 102, SOUTHFIELD, MI 48034-4714
(248) 352-3400
(248) 352-2995
Mailing address
27177 LAHSER RD, SUITE 102, SOUTHFIELD, MI 48034-4714
(248) 352-3400
(248) 352-2995
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/14/2015
Last updated
08/24/2016
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