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MEDSTAR PHARMACY INC NPI 1538408695


NPI Information

NPI: 1538408695
Provider Name: MEDSTAR PHARMACY INC

Doing Business As: MEDSTAR PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
14155 FARMINGTON RD STE D
LIVONIA, MI
ZIP 48154
Phone: (734) 744-5266
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MEDSTAR PHARMACY INC is a community/retail pharmacy pharmacy in Livonia, MI. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. MEDSTAR PHARMACY INC NPI is 1538408695. The provider is registered as an organization entity type.
The provider Is Doing Business As Medstar Pharmacy.

The provider's business location address is:

14155 FARMINGTON RD STE D
LIVONIA, MI
ZIP 48154-422
Phone: (734) 744-5266
Fax: (734) 744-4854

The provider's authorized official is Saduf Irshad .
The authorized official title is Owner and has the following contact phone number (734) 624-7808.

The enumeration date for this NPI number is 2/10/2013 and was last updated on 11/10/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336L0003XPharmacyLong Term Care PharmacyNo
23336S0011XPharmacySpecialty PharmacyNo
33336C0004XPharmacyCompounding PharmacyNo
43336C0003XPharmacyCommunity/Retail Pharmacy5301010018MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11538408695MEDICAIDMICHIGAN
22138936OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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