Organization
THE PHARMACY INC
Active
Organization
THE PHARMACY INC
Active
Other names
THE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
EIHAB SWIDAN (VP OPER)
(734) 657-9769
Entity
Organization
Contact information
Practice address
1549 HOLMES RD, YPSILANTI, MI 48198-4147
(734) 547-9100
(734) 547-9144
Mailing address
5204 JACKSON RD STE C, ANN ARBOR, MI 48103-1866
(734) 821-8000
(734) 821-8001
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301008596
MI
3336C0004X
Compounding Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2369519
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/23/2007
Last updated
10/05/2011
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