Organization
JEFFERSON RX LLC
Active
Parent organization
JEFFERSON MANAGEMENT INC
Other names
Knight Drugs - Jefferson
Organization subpart
Yes
Provider details
NPI number
Legal business name
JEFFERSON MANAGEMENT INC
Authorized official
CANDICE TOLF (3RD PARTY COORDINATOR)
(313) 751-7979
Entity
Organization
Contact information
Practice address
8367 E JEFFERSON AVE, DETROIT, MI 48214-2730
(313) 925-7890
(313) 925-7889
Mailing address
6689 ORCHARD LAKE RD STE 168, WEST BLOOMFIELD, MI 48322-3404
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
530101816
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FSRX5585884
FLEXSCRIPT
—
Enumeration date
11/02/2017
Last updated
09/20/2023
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