Organization
SAV ON HOME HEALTHCARE SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW J MAC R.PH. (VICE PRESIDENT - PHARMACY OPERATION)
(734) 377-3154
Entity
Organization
Contact information
Practice address
2040 S CEDAR ST, IMLAY CITY, MI 48444-9606
(810) 724-7692
(810) 724-6064
Mailing address
21120 BRIDGE ST, SOUTHFIELD, MI 48033-4032
(248) 357-4550
(248) 357-2332
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
5301006101
MI
3336C0003X
Community/Retail Pharmacy
Primary
5301006101
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2353453
NCPDP IDENTIFICATION NUMBER
MI
05
—
4838959
—
MI
01
—
5301006101
MICHIGAN PHARMACY LICENSE
MI
01
—
540D402840
BLUE CROSS BLUE SHIELD MICHIGAN DME PROVIDER ID
MI
Enumeration date
06/09/2008
Last updated
03/07/2023
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