Organization
22835 VAN DYKE DRUGS INC
Active
Organization
22835 VAN DYKE DRUGS INC
Active
Other names
Sussex Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL TUBBEN (PRESIDENT)
(586) 757-6505
Entity
Organization
Contact information
Practice address
22835 VAN DYKE AVE, WARREN, MI 48089-2356
(586) 757-6505
(586) 757-7785
Mailing address
22835 VAN DYKE AVE, WARREN, MI 48089-2356
(586) 757-6505
(586) 757-7785
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301010985
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2164020
PK
—
Enumeration date
08/27/2006
Last updated
09/29/2016
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