Organization
EAST RIVER ASSOCIATES LLC
Active
Other names
SAV- MOR #100
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES W HASTINGS RPH (PRESIDENT)
(734) 558-1567
Entity
Organization
Contact information
Practice address
13101 ALLEN ROAD, SUITE 511, SOUTHGATE, MI 48195
(734) 374-2335
(734) 374-2339
Mailing address
13101 ALLEN ROAD, SUITE 511, SOUTHGATE, MI 48195
(734) 374-2335
(734) 374-2339
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
5301008855
MI
3336C0003X
Community/Retail Pharmacy
Primary
5301008855
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2371069
OTHER ID NUMBER
—
05
—
2371069
—
MI
Enumeration date
04/18/2008
Last updated
02/25/2016
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