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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