Organization
FLAT ROCK FAMILY PHARMACY LLC
Active
Other names
FLAT ROCK FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RAHUL KOCHHAR (OWNER)
(803) 629-5197
Entity
Organization
Contact information
Practice address
25620 GIBRALTAR RD, FLAT ROCK, MI 48134-1243
(734) 789-8950
(734) 789-8956
Mailing address
25620 GIBRALTAR RD, FLAT ROCK, MI 48134-1243
(734) 789-8950
(734) 789-8956
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301009376
MI
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2374154
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/17/2010
Last updated
07/09/2010
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