Organization
UTICA PHARMACY INC
Active
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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