Organization
ST JOSEPH MERCY PROFESSIONAL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP J WEIN PHARMACIST (MANAGER, PHARMACY SERVICES)
(248) 858-3053
Entity
Organization
Contact information
Practice address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(248) 452-5357
(248) 452-5292
Mailing address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(248) 858-3053
(248) 858-3010
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
5301007139
MI
3336H0001X
Home Infusion Therapy Pharmacy
5301007139
MI
3336S0011X
Specialty Pharmacy
Primary
5301007139
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2360876
NABP/NCPDP #
MI
05
—
4168904
—
MI
05
—
4168922
—
MI
01
—
5301007139
MICHIGAN LICENSE #
MI
Enumeration date
10/05/2006
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us