Organization
HOLIDAY PHARMACY PLLC
Active
Other names
HOLIDAY PHARMACY PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
R MELODY SHANBAUM (CEO/OWNER)
(248) 546-5500
Entity
Organization
Contact information
Practice address
37771 SCHOENHERR RD, STERLING HEIGHTS, MI 48312-2302
(586) 274-4332
(586) 274-4828
Mailing address
6443 INKSTER RD, STE 170F, BLOOMFIELD HILLS, MI 48301-1318
(586) 274-4332
(586) 274-4828
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301003121
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2040962
PK
—
05
—
2318598
—
MI
05
—
4845265
—
MI
Enumeration date
01/17/2006
Last updated
03/12/2021
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