Organization
SDS PHARMACY INC
Active
Other names
Capac Pharmacy, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOT DOUGLAS SHELDON (PRESIDENT)
(810) 387-4244
Entity
Organization
Contact information
Practice address
136 N MAIN STREET, CAPAC, MI 48014
(810) 395-2336
(810) 395-9015
Mailing address
43155 W 9 MILE RD, NOVI, MI 48375-4190
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301006496
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2356283
OTHER ID NUMBER
—
05
—
2356283
—
MI
05
—
3293130
—
MI
Enumeration date
08/27/2006
Last updated
03/17/2016
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