Organization
MEDPLUS CARE PHARMACY LLC
Active
Other names
MEDPLUS CARE PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ANURADHA CHITTIPROLU (PRESIDENT)
(313) 371-9000
Entity
Organization
Contact information
Practice address
14071 E 7 MILE RD, DETROIT, MI 48205-2335
(313) 371-9000
(313) 371-9005
Mailing address
14071 E 7 MILE RD, DETROIT, MI 48205-2335
(313) 371-9000
(313) 371-9005
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301010013
MI
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2377617
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/07/2013
Last updated
03/14/2016
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