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Organization

UTICA PHARMACY INC

Active
Other names
Utica Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
SWARUP PATEL B.PHARMACY (PHARMACIST)
(586) 745-3035
Entity
Organization

Contact information

Practice address
49310 VAN DYKE AVE STE 100, SHELBY TOWNSHIP, MI 48317-1337
(586) 884-7710
(586) 884-7780
Mailing address
49310 VAN DYKE AVE, STE 100, SHELBY TOWNSHIP, MI 48317-1337
(586) 884-7710
(586) 884-7780

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
5301011163
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1609302181
MI
01
2169268
PK
Enumeration date
05/03/2017
Last updated
07/19/2018
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