Organization
SDS PHARMACY INC
Active
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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