Organization
PHARMACY-N-DOLLAR SHOP INC
Active
Other names
pharmacy-n-dollar shop inc
Organization subpart
No
Provider details
NPI number
Authorized official
FRED HARRIS (OWNER)
(586) 447-3200
Entity
Organization
Contact information
Practice address
30711 UTICA RD, ROSEVILLE, MI 48066-1522
(586) 447-3200
(586) 447-3200
Mailing address
30711 UTICA RD, ROSEVILLE, MI 48066-1522
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
5301009117
MI
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2372845
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/12/2009
Last updated
06/12/2009
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