Organization
WARREN PHARMACY & MEDICAL SUPPLIES P C
Active
Organization
WARREN PHARMACY & MEDICAL SUPPLIES P C
Active
Other names
WARREN PHARMACY & MEDICAL SUPPLIES
Organization subpart
No
Provider details
NPI number
Authorized official
FARAH KHAN RPH (OWNER/MGR)
(248) 541-5800
Entity
Organization
Contact information
Practice address
35450 DEQUINDRE RD, #102, STERLING HEIGHTS, MI 48310-4810
(248) 541-5800
(248) 541-5844
Mailing address
35450 DEQUINDRE RD, #102, STERLING HEIGHTS, MI 48310-4810
(248) 541-5800
(248) 541-5844
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301009039
MI
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2371300
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/25/2008
Last updated
09/27/2011
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