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Contact Information

ST. CLAIR SHORE PHARMACY MI LLC
25014 LITTLE MACK AVE
SAINT CLAIR SHORES, MI48080
 Phone: 586-359-6517
 Fax: 586-359-6523
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ST. CLAIR SHORE PHARMACY MI LLC

NPI # 1104260066
LBN Legal business name ST. CLAIR SHORE PHARMACY MI LLC
Authorized official HEMA PATEL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/23/2013
Last updated 05/25/2023 - About 3 years ago
Identifiers
MI License # 5315059314
Other 2140011 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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