Organization
HAGGERTY PHARMACY LLC
Active
Other names
Haggerty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GEBRE ASHEBIR (PHARMACIST IN CHARGE)
(734) 667-2000
Entity
Organization
Contact information
Practice address
6200 N HAGGERTY RD, SUITE 300, CANTON, MI 48187-3605
(734) 667-2000
(734) 667-3164
Mailing address
6200 N HAGGERTY RD, SUITE 300, CANTON, MI 48187-3605
(734) 667-2000
(734) 667-3164
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301011046
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166316
PK
—
Enumeration date
11/03/2016
Last updated
11/21/2016
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