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WARREN MEDICAL PHARMACY LLC NPI 1114168176


NPI Information

NPI: 1114168176
Provider Name: WARREN MEDICAL PHARMACY LLC

Doing Business As: PHARMOR PHARMACY WARREN

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
27379 VAN DYKE AVE
WARREN, MI
ZIP 48093
Phone: (586) 757-9100
Get Directions

WARREN MEDICAL PHARMACY LLC is a community/retail pharmacy pharmacy in Warren, 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. WARREN MEDICAL PHARMACY LLC NPI is 1114168176. The provider is registered as an organization entity type.
The provider Is Doing Business As Pharmor Pharmacy Warren.

The provider's business location address is:

27379 VAN DYKE AVE
WARREN, MI
ZIP 48093-844
Phone: (586) 757-9100
Fax: (586) 757-9122

The provider's authorized official is Wagdi Abdulla .
The authorized official title is Member Owner and has the following contact phone number (586) 757-9100.

The enumeration date for this NPI number is 3/20/2009 and was last updated on 3/6/2017.


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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy5301009073MICHIGANYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11114168176MEDICAIDMICHIGAN
22119509OTHERPK

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: 5/5/2024

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