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Organization subpart
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Provider details

NPI number
Authorized official
ANDREW MAC (VICE PRESIDENT OF PHARMACY OPERATIO)
(248) 626-2525
Entity
Organization

Contact information

Practice address
6510 TELEGRAPH RD, BLOOMFIELD HILLS, MI 48301-3011
(248) 626-2525
Mailing address
32855 OLD POST RD, BEVERLY HILLS, MI 48025-2848
(248) 642-4525

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
MI

Other

Enumeration date
06/05/2013
Last updated
06/05/2013
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