Organization
HERITAGE PHARMACY OF NOVI
Active
Organization
HERITAGE PHARMACY OF NOVI
Active
Other names
Heritage Pharmacy Of Novi
Organization subpart
No
Provider details
NPI number
Authorized official
RAJAN PATEL (PRESIDENT)
(734) 377-8304
Entity
Organization
Contact information
Practice address
25500 MEADOWBROOK RD STE 160, NOVI, MI 48375-1881
(734) 377-8304
Mailing address
25500 MEADOWBROOK RD STE 160, NOVI, MI 48375-1881
(734) 377-8304
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301010931
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160139
PK
—
Enumeration date
05/27/2016
Last updated
05/27/2016
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