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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