Organization
TAYLOR CITY PHARMACY INC
Active
Other names
TAYLOR CITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE HAIDAR (RPH)
(313) 395-2120
Entity
Organization
Contact information
Practice address
23268 ECORSE RD, TAYLOR, MI 48180-1769
(313) 395-2120
(313) 395-2116
Mailing address
23268 ECORSE RD, TAYLOR, MI 48180-1769
(313) 395-2120
(313) 395-2116
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301010929
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160209
PK
—
Enumeration date
05/18/2016
Last updated
09/13/2021
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