Organization
VAN BUREN PHARMACEUTICALS LLC
Active
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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