Organization
SAFESCRIPT PHARMACY 19 LLC
Active
Other names
SAFESCRIPT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY GIANOPLOS (CEO)
(248) 306-5150
Entity
Organization
Contact information
Practice address
31715 GRAND RIVER AVE, FARMINGTON HILLS, MI 48336-4238
(248) 306-5150
(248) 306-5154
Mailing address
31715 GRAND RIVER AVE, FARMINGTON HILLS, MI 48336-4238
(248) 306-5150
(248) 306-5154
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301007894
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0085505006
—
MI
01
—
2365509
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/20/2006
Last updated
11/14/2012
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