Organization
SENIOR LINK LTC PHARMACY INC
Active
Other names
Bellecare Medical Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RAMPRAKASH NARAYANAKUMAR (CEO)
(734) 765-3681
Entity
Organization
Contact information
Practice address
28301 5 MILE RD, LIVONIA, MI 48154-3909
(734) 422-1555
(734) 422-1558
Mailing address
28301 5 MILE RD, LIVONIA, MI 48154-3909
(734) 422-1555
(734) 422-1558
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
5301009923
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2137676
PK
—
Enumeration date
11/06/2012
Last updated
12/04/2015
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