Organization
VAN BUREN PHARMACEUTICALS LLC
Active
Other names
Van Buren Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GEBRE ASHEBIR (PHARMACIST IN CHARGE)
(734) 325-6318
Entity
Organization
Contact information
Practice address
11650 BELLEVILLE RD STE 103, SUITE 103, BELLEVILLE, MI 48111-3382
(734) 325-6318
(734) 325-6319
Mailing address
11650 BELLEVILLE RD STE 103, SUITE 103, BELLEVILLE, MI 48111-3382
(734) 325-6318
(734) 325-6319
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301010392
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006060728
—
MI
01
—
2145405
PK
—
Enumeration date
04/23/2014
Last updated
09/19/2025
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