Organization
SHIVAAY 1 PLLC
Active
Organization
SHIVAAY 1 PLLC
Active
Other names
tecumseh pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DHIMAN PATEL (PHARMACIST IN CHARGE)
(704) 807-6200
Entity
Organization
Contact information
Practice address
6869 S OCCIDENTAL HIGHWAY, TECUMSEH, MI 49286
(517) 301-4555
(517) 301-4556
Mailing address
305 W CANFORD PARK, CANTON, MI 48187
(517) 301-4555
(517) 301-4556
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301011162
MI
Other
Enumeration date
05/02/2017
Last updated
07/21/2022
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