Organization
LIFECARE OF MICHIGAN, LLC
Active
Other names
LIFECARE PHARMACY OF MICHIGAN
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WANSA MAKKI (PRESIDENT)
(313) 231-1141
Entity
Organization
Contact information
Practice address
23580 ORCHARD LAKE RD, FARMINGTON HILLS, MI 48336-3241
(734) 261-4400
(734) 261-4803
Mailing address
23580 ORCHARD LAKE RD, FARMINGTON HILLS, MI 48336-3241
(734) 261-4400
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
5301010697
MI
Other
Enumeration date
06/22/2015
Last updated
06/22/2015
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