Organization
640 AUBURN ROAD DRUGS INC
Active
Other names
ACTION DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
HERSHEL COHEN (VP)
(248) 332-6840
Entity
Organization
Contact information
Practice address
640 AUBURN AVE, PONTIAC, MI 48342-3365
(248) 332-6840
(810) 332-6841
Mailing address
640 AUBURN AVE, PONTIAC, MI 48342-3365
(248) 332-6840
(810) 332-6841
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301004561
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780990
—
MI
01
—
2341561
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/12/2006
Last updated
08/06/2012
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