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EASTBORN RX PHARMACY LLC NPI 1396091518

NPI Profile

NPI: 1396091518

Provider Name: EASTBORN RX PHARMACY LLC

Doing Business As: EASTBORN RX PHARMACY

Classification: Pharmacy (3336C0003X)

Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
7526 WYOMING ST
SUITE 1
DEARBORN, MI
ZIP 48126

Phone: (313) 491-1010

EASTBORN RX PHARMACY LLC is a community/retail pharmacy pharmacy in Dearborn, 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. EASTBORN RX PHARMACY LLC NPI is 1396091518. The provider is registered as an organization entity type.
The provider Is Doing Business As Eastborn Rx Pharmacy.

The provider's business location address is:

7526 WYOMING ST
SUITE 1
DEARBORN, MI
ZIP 48126-690
Phone: (313) 491-1010
Fax: (313) 491-2020

The provider's authorized official is Ali Cheaito .
The authorized official title is Owner and has the following contact phone number (313) 491-1010.

The enumeration date for this NPI number is 7/25/2012 and was last updated on 12/21/2012.

Map - Location of Practice

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 3336C0003X Pharmacy Community/Retail Pharmacy 5301009915 MICHIGAN Yes

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: 5/13/2015