Organization
KAYCEE MICHONE LLC
Active
Other names
Elite Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
CHIRAG MODI (OWNER)
(734) 377-2584
Entity
Organization
Contact information
Practice address
40820 GARFIELD RD, CLINTON TOWNSHIP, MI 48038-2535
(586) 566-9400
(586) 566-9401
Mailing address
40820 GARFIELD RD, CLINTON TOWNSHIP, MI 48038-2535
(586) 566-9400
(586) 566-9401
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
5301009548
MI
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168197
PK
—
Enumeration date
03/17/2017
Last updated
12/07/2022
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