Organization
SOUTH LYON PHARMACY LLC
Active
Other names
South Lyon Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NIRAVUMAR BHAVSAR PHARMACIST (PHARMACY MANAGER)
(248) 446-7071
Entity
Organization
Contact information
Practice address
22894 PONTIAC TRL, SOUTH LYON, MI 48178-1640
(248) 896-1286
Mailing address
22894 PONTIAC TRL, SOUTH LYON, MI 48178-1640
(248) 446-7071
(248) 869-6044
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/11/2025
Last updated
03/02/2025
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