Organization
WEST BLOOMFIELD MARKET LLC
Active
Other names
Plum Market Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MARTIN (VP OF PHARMACY)
(248) 706-1600
Entity
Organization
Contact information
Practice address
6565 ORCHARD LAKE RD, WEST BLOOMFIELD, MI 48322-3403
(248) 626-1111
(248) 626-1116
Mailing address
30777 NORTHWESTERN HWY, STE 301, FARMINGTON HILLS, MI 48334-2549
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301009097
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2372489
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/13/2009
Last updated
05/21/2009
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