Organization
PRESTIGE SPECIALTY PHARMACY LLC
Active
Other names
Prestige Specialty Pharmacy LLC, prestige specialty pharmacy, Prestige Specialty Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
AMRO SHARAFELDIN (CEO)
(877) 742-7621
Entity
Organization
Contact information
Practice address
3739 15 MILE RD, STERLING HEIGHTS, MI 48310
(877) 742-7621
(586) 883-9388
Mailing address
3739 15 MILE RD, STERLING HEIGHTS, MI 48310
(877) 742-7621
(586) 883-9388
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
5301011349
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306340955
—
MI
Enumeration date
07/30/2018
Last updated
07/30/2018
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