Organization
THE MEDICINE CABINET 2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN GRAHAM (MANAGER PHARMACY SERVICES)
(248) 348-1570
Entity
Organization
Contact information
Practice address
21947 W NINE MILE RD, SOUTHFIELD, MI 48075
(248) 350-0922
Mailing address
21947 W NINE MILE RD, SOUTHFIELD, MI 48075
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301007036
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2359722
OTHER ID NUMBER
—
Enumeration date
04/17/2008
Last updated
04/17/2008
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