Organization
ST CLAIR PHARMACY INC
Active
Other names
ST CLAIR SAVMOR PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOT DOUGLAS SHELDON (PRESIDENT)
(810) 387-4244
Entity
Organization
Contact information
Practice address
201 N RIVERSIDE AVE STE A1, SAINT CLAIR, MI 48079-5470
(810) 326-1233
(810) 326-2901
Mailing address
43155 W 9 MILE RD, NOVI, MI 48375-4190
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5315012420
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2364545
OTHER ID NUMBER
—
05
—
2364545
—
MI
Enumeration date
08/27/2006
Last updated
10/19/2012
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