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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