Organization
SAV ON HME HEALTH CRE SPLY
Active
Organization
SAV ON HME HEALTH CRE SPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW MAC RPH (VICE PRESIDENT PHARMACY OPERATION)
(734) 377-3154
Entity
Organization
Contact information
Practice address
5688 N TELEGRAPH RD, DEARBORN HEIGHTS, MI 48127-3219
(313) 565-9357
(313) 565-8457
Mailing address
21120 BRIDGE ST, SOUTHFIELD, MI 48033-4032
(734) 377-3154
(248) 357-2332
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
5301006102
MI
3336C0003X
Community/Retail Pharmacy
Primary
5301006102
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4843977
—
MI
01
—
5301006102
MICHIGAN PHARMACY LICENSE
MI
Enumeration date
05/09/2008
Last updated
03/07/2023
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