Organization
SPECTRA MED INC
Active
Other names
Spectra Med Rx
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL STAYER R.PH. (PRESIDENT/PHARMACIST)
(248) 669-5757
Entity
Organization
Contact information
Practice address
3160 HAGGERTY RD, STE H, WEST BLOOMFIELD, MI 48323-2000
(248) 669-5757
(248) 669-2090
Mailing address
3160 HAGGERTY RD, STE H, WEST BLOOMFIELD, MI 48323-2000
(248) 669-5757
(248) 669-2090
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301010104
MI
3336C0004X
Compounding Pharmacy
5301010104
MI
Other
Enumeration date
09/06/2013
Last updated
09/06/2013
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