Organization
HUNTSMAN I, LLC
Active
Other names
Northline Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RITA M FLORKOWSKI RPH (PHARMACIST IN CHARGE)
(734) 285-9496
Entity
Organization
Contact information
Practice address
13894 NORTHLINE RD, SOUTHGATE, MI 48195
(734) 285-9496
(734) 285-9498
Mailing address
13894 NORTHLINE RD, SOUTHGATE, MI 48195
(734) 285-9496
(734) 285-9498
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
5315071062
MI
3336C0003X
Community/Retail Pharmacy
Primary
5315071062
MI
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2307610
OTHER ID NUMBER
—
05
—
2307610
—
MI
Enumeration date
08/27/2006
Last updated
10/10/2017
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