Organization
PINE KNOB PHARMACY 2 INC
Active
Organization
PINE KNOB PHARMACY 2 INC
Active
Other names
PINE KNOB SAV MOR PHARMACY 2
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN GRAHAM (MANAGER PHARMACY SERVICES)
(248) 348-1570
Entity
Organization
Contact information
Practice address
5625 WATER TOWER PL, CLARKSTON, MI 48346-2671
(248) 625-1215
(248) 620-4258
Mailing address
43155 W 9 MILE RD, NOVI, MI 48375-4190
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301006592
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2335380
OTHER ID NUMBER
—
05
—
2335380
—
MI
Enumeration date
08/27/2006
Last updated
04/15/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up