Organization
PINE KNOB PHARMACY 1 INC
Active
Organization
PINE KNOB PHARMACY 1 INC
Active
Other names
Sav-Mor 51 Pine Knob Pharmacy 1
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY J PLAS PHARM.D. (VICE PRESIDENT)
(248) 384-8050
Entity
Organization
Contact information
Practice address
5701 BOW POINTE DR, STE 130, CLARKSTON, MI 48346-3198
(248) 384-8050
(248) 384-8055
Mailing address
5701 BOW POINTE DR, STE 130, CLARKSTON, MI 48346-3198
(248) 384-8050
(248) 384-8055
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301009089
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2119843
PK
—
Enumeration date
04/21/2009
Last updated
03/02/2017
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