Organization
PLAZA PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED HARRIS RPH (OWNER)
(586) 790-5357
Entity
Organization
Contact information
Practice address
30711 UTICA RD, ROSEVILLE, MI 48066-1522
(586) 790-5357
Mailing address
30711 UTICA RD, ROSEVILLE, MI 48066-1522
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
3336C0003X
Community/Retail Pharmacy
5301008318
MI
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2368442
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/10/2006
Last updated
09/11/2025
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