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Organization

ANN ARBOR MARKET LLC

Active
Other names
PLUM MARKET PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
MATT JONNA (OWNER)
(248) 706-1600
Entity
Organization

Contact information

Practice address
375 N MAPLE RD, ANN ARBOR, MI 48103-2824
(734) 827-3000
(734) 827-9445
Mailing address
30777 NORTHWESTERN HWY, SUITE 301, FARMINGTON HILLS, MI 48334-2549

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301008788
MI
3336C0004X
Compounding Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2370740
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
01/28/2008
Last updated
10/10/2008
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