Organization
BEST VALUE PHARMACY LLC
Active
Other names
Lakeshore Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD VAHALEK (DIRECTOR OF PHARMACY)
(313) 483-3910
Entity
Organization
Contact information
Practice address
7310 WOODWARD AVE FL 4, DETROIT, MI 48202-3165
(313) 483-3910
(313) 872-0680
Mailing address
7310 WOODWARD AVE FL 4, DETROIT, MI 48202-3165
(313) 483-3910
(313) 872-0680
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
5301008983
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2118169
PK
—
Enumeration date
11/25/2008
Last updated
11/09/2015
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