Organization
WEST BLOOMFIELD MARKET LLC
Active
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
Update your record
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