Organization
NEWPORT SAV-MOR
Active
Other names
Newport Sav-Mor Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY OLEYNIK (OWNER)
(734) 586-7501
Entity
Organization
Contact information
Practice address
7505 GRAFTON RD, NEWPORT, MI 48166-8908
(734) 586-7501
(734) 586-7573
Mailing address
7505 GRAFTON RD, NEWPORT, MI 48166-8908
(734) 586-7501
(734) 586-7573
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301009343
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2373986
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/12/2010
Last updated
06/30/2010
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