Organization
ST CLAIR PHARMACY INC
Active
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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