Organization
SHORES SPECIALTY PHARMACY LLC
Active
Other names
Shores Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ZENITH GANDHI (OWNER/MANAGER)
(248) 982-5962
Entity
Organization
Contact information
Practice address
29306 HARPER AVE, SAINT CLAIR SHORES, MI 48081-2712
(586) 200-1824
(586) 200-1825
Mailing address
29306 HARPER AVE, ST CLAIR SHORES, MI 48081
(586) 200-1824
(586) 200-1825
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301010514
MI
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146851
PK
—
Enumeration date
04/16/2014
Last updated
09/19/2025
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