Organization
ROSE REX LLC
Active
Other names
Rexall Highland Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CANDI TOLF (3RD PARTY COORDINATOR)
(248) 963-7979
Entity
Organization
Contact information
Practice address
2330 S MILFORD RD STE 114, HIGHLAND, MI 48357-4982
(248) 782-7979
Mailing address
4301 ORCHARD LAKE RD STE 180-183, WEST BLOOMFIELD, MI 48323-1604
(248) 963-7979
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609477389
—
MI
Enumeration date
11/08/2020
Last updated
02/16/2024
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