Organization
PLYMOUTH CITY PHARMACY LLC
Active
Other names
Plymouth City Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SOJAN THOMAS (OWNER/PHARMACIST IN CHARGE)
(734) 578-4113
Entity
Organization
Contact information
Practice address
41416 ANN ARBOR RD E, PLYMOUTH, MI 48170-8005
(734) 578-4113
(734) 228-6958
Mailing address
41416 ANN ARBOR RD E, PLYMOUTH, MI 48170-8005
(734) 578-4113
(734) 451-1830
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301011140
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168833
PK
—
Enumeration date
04/11/2017
Last updated
04/21/2017
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