Organization
HEALTH MAINTENANCE PHARMACIES INC.
Active
Other names
FARMBROOK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN DALEHLAIN (PHCIST)
(248) 354-5600
Entity
Organization
Contact information
Practice address
29877 TELEGRAPH RD, SUITE 101, SOUTHFIELD, MI 48034-1332
(248) 354-5600
(248) 354-0148
Mailing address
29877 TELEGRAPH RD, SOUTHFIELD, MI 48034-1332
(248) 354-5600
(248) 354-0148
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301003583
MI
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2042925
PK
—
Enumeration date
07/30/2006
Last updated
10/20/2015
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