Organization
MAXWELL PHARMACY LLC
Active
Other names
Maxwell Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AJAYKUMAR GAJERA (MEMBER)
(732) 986-8675
Entity
Organization
Contact information
Practice address
3416 CLIO RD, FLINT, MI 48504-1837
(810) 471-3333
(810) 553-9138
Mailing address
3416 CLIO RD, FLINT, MI 48504-1837
(810) 471-3333
(810) 553-9138
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5301013036
PHARMACY LICENSE
MI
Enumeration date
12/06/2022
Last updated
12/06/2022
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