Organization
SOUTH LYON PHARMACY LLC
Active
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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