Organization
VAN BORN PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUNNY BERTONI (PRESIDENT)
(313) 791-7311
Entity
Organization
Contact information
Practice address
22220 VAN BORN RD, DEARBORN HEIGHTS, MI 48125-2573
(313) 791-7311
(313) 791-7318
Mailing address
22220 VAN BORN RD, DEARBORN HEIGHTS, MI 48125-2573
(313) 791-7311
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301010630
MI
Other
Enumeration date
02/02/2015
Last updated
03/26/2015
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