Organization
ASCENT RX LLC
Active
Other names
BRISTOL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MAYUR B PATEL RPH (PHARMACIST)
(810) 407-6101
Entity
Organization
Contact information
Practice address
5154 MILLER RD STE G, FLINT, MI 48507-1069
(810) 407-6101
(810) 407-6095
Mailing address
5154 MILLER RD, SUITE G, FLINT, MI 48507-1065
(810) 407-6101
(810) 407-6095
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301009331
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2373758
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/22/2010
Last updated
03/27/2012
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