Organization
STP REX LLC
Active
Organization
STP REX LLC
Active
Other names
Rexall Detroit Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CANDI TOLF (3RD PARTY COORDINATOR)
(248) 963-7979
Entity
Organization
Contact information
Practice address
9934 HARPER AVE, DETROIT, MI 48213-3110
(313) 921-3536
Mailing address
4301 ORCHARD LAKE RD STE 180-183, WEST BLOOMFIELD, MI 48323-1604
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FSRX9938785
FLEXSCRIPT
—
Enumeration date
11/08/2020
Last updated
09/20/2023
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