Organization
SAV ON HOME HEALTHCARE SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW J MAC R.PH. (VICE PRESIDENT - PHARMACY OPERATION)
(734) 377-3154
Entity
Organization
Contact information
Practice address
20145 ANN ARBOR TRL, DEARBORN HEIGHTS, MI 48127-2675
(313) 271-3770
(313) 271-0504
Mailing address
34550 GLENDALE ST, LIVONIA, MI 48150-1304
(734) 525-1700
(734) 525-1808
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
5301006413
MI
3336C0003X
Community/Retail Pharmacy
Primary
5301006413
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2303903
NCPDP IDENTIFICATION NUMBER
MI
05
—
4838968
—
MI
01
—
5301006413
MICHIGAN PHARMACY LICENSE
MI
01
—
540H219280
BLUE CROSS BLUE SHIELD MICHIGAN DME PROVIDER ID
MI
Enumeration date
06/09/2008
Last updated
03/07/2023
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