Organization
LAFAYETTE DRUGS INC
Active
Other names
LAFAYETTE DRUGS SAVMOR
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE GALLAGHER (EVP)
(248) 348-1570
Entity
Organization
Contact information
Practice address
670 CHENE ST, DETROIT, MI 48207-3979
(313) 259-0090
(313) 259-0246
Mailing address
43155 W 9 MILE RD, NOVI, MI 48375-4190
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301005105
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2040496
PK
—
05
—
2344593
—
MI
Enumeration date
05/29/2006
Last updated
10/26/2015
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