Organization
CLINICAL PHCY AND PHARM CARE CTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIMESH DESAI (DIRECTOR)
(248) 656-8131
Entity
Organization
Contact information
Practice address
6700 N ROCHESTER RD, STE 101, ROCHESTER HILLS, MI 48306-4362
(248) 656-8131
(248) 656-8146
Mailing address
6700 N ROCHESTER RD, STE 101, ROCHESTER HILLS, MI 48306-4362
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301006439
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2355988
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
3266393
—
MI
Enumeration date
10/03/2006
Last updated
08/22/2020
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