National Provider Identifier Database

EXECUTIVE INFUSION SERVICES LLC
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

EXECUTIVE INFUSION SERVICES LLC
12821 D-13 S. SAQINAW ST
GRAND BLANK, MI48439
Phone: 313-982-3220
Fax: 313-982-3221
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X
Home Infusion Therapy Pharmacy 3336H0001X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for EXECUTIVE INFUSION SERVICES LLC

NPI Number 1548712979
Legal business name
LBN
EXECUTIVE INFUSION SERVICES LLC
Authorized official AIMAN ABUEIDA - (OWNER / CLINICAL PHARMACIST)
Entity Organization
Organization subpart No
Enumeration date 11/02/2016
Last updated 12/21/2016 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • MI License #: 5301010096
  • Other: 2165926 PK

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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