Organization
DALCOMA SPECIALTY PHARMACY LLC
Active
Other names
Dalcoma Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HIMAL SHAH (OWNER)
(248) 566-0116
Entity
Organization
Contact information
Practice address
43337 SCHOENHERR RD, STERLING HEIGHTS, MI 48313-1959
(586) 697-3877
(586) 697-3878
Mailing address
43337 SCHOENHERR RD, STERLING HEIGHTS, MI 48313-1959
(586) 697-3877
(586) 697-3878
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301010422
MI
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2145053
PK
—
Enumeration date
03/16/2014
Last updated
05/06/2019
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