Organization
CRESCENT VENTURES GROUP LLC
Active
Other names
Orchard Village Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MAHDI ELAHI (PHARMACIST IN CHARGE)
(248) 997-7633
Entity
Organization
Contact information
Practice address
23133 ORCHARD LAKE RD STE 101, FARMINGTON, MI 48336-3278
(248) 997-7633
(248) 997-7633
Mailing address
23133 ORCHARD LAKE RD STE 101, FARMINGTON, MI 48336-3278
(248) 997-7633
(248) 997-7633
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
11/22/2024
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