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Organization

JOHN S LTC PHARMACY INC.

Active
Other names
SHELBY FAMILY PHARMACY, John S LTC Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
GIOVANNI CIRAULO (PHARMACIST/OWNER)
(586) 201-7801
Entity
Organization

Contact information

Practice address
48887 HAYES RD, SHELBY TOWNSHIP, MI 48315-4405
(586) 279-3333
(586) 279-1209
Mailing address
48887 HAYES RD, SHELBY TOWNSHIP, MI 48315-4405
(586) 279-3333
(586) 279-1209

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336L0003X
Long Term Care Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1346629615
MI
01
2156097
PK
Enumeration date
05/20/2015
Last updated
03/14/2025
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