Organization
CENTRAL PHARMACY - LIVONIA LLC
Active
Other names
MERRIMAN DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
PRAVEEN VENISETTY (MANAGING MEMBER)
(734) 427-3430
Entity
Organization
Contact information
Practice address
31320 5 MILE RD, LIVONIA, MI 48154-3644
(734) 427-3430
(734) 427-1293
Mailing address
31320 5 MILE RD, LIVONIA, MI 48154-3644
(734) 427-3430
(734) 427-1293
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301011005
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2164086
PK
—
Enumeration date
07/16/2005
Last updated
12/22/2016
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