National Provider Identifier Database

ISIDRO II INC
Clinic Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Contact Information

ISIDRO II INC
7288 N SHELDON RD STE A
CANTON, MI48187-2150
Phone: 734-812-9129
Fax: 734-629-1717
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X
Health Service 261QH0100X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for ISIDRO II INC

NPI Number 1265099600
Legal business name
LBN
ISIDRO II INC
Authorized official MARIA YOUNG - (PRESIDENT)
Entity Organization
Organization subpart Yes
Enumeration date 05/21/2019
Last updated 06/01/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • MI Medicaid: 1295918274
  • Other: 1477673325 RPH PHARM D PROVIDER
  • MI Other: 0P60030 MASS IMMUNIZATION
  • MI Other: 0P57520 PHARMACY
  • MI Other: 1740306778 RPH PROVIDER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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