Organization
VISCHNU INC
Active
Other names
Preferred Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PUSPHA PATEL (PRESIDENT)
(248) 858-9630
Entity
Organization
Contact information
Practice address
461 W HURON ST, PONTIAC, MI 48341-1601
(248) 858-9630
(248) 858-9635
Mailing address
461 W HURON ST, PONTIAC, MI 48341-1601
(248) 858-9630
(248) 858-9635
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301009214
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2373328
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/05/2009
Last updated
03/22/2011
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