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ROSEDALE COMMUNITY PHARMACY INC NPI 1699007542


NPI Information

NPI: 1699007542
Provider Name: ROSEDALE COMMUNITY PHARMACY INC

Doing Business As: ROSEDALE COMMUNITY PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
19220 GRAND RIVER AVE
DETROIT, MI
ZIP 48223
Phone: (313) 531-0100
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ROSEDALE COMMUNITY PHARMACY INC is a community/retail pharmacy pharmacy in Detroit, 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. ROSEDALE COMMUNITY PHARMACY INC NPI is 1699007542. The provider is registered as an organization entity type.
The provider Is Doing Business As Rosedale Community Pharmacy.

The provider's business location address is:

19220 GRAND RIVER AVE
DETROIT, MI
ZIP 48223-707
Phone: (313) 531-0100
Fax: (313) 531-0101

The provider's authorized official is Zainab Jaafar .
The authorized official title is President and has the following contact phone number (734) 262-4600.

The enumeration date for this NPI number is 2/3/2010 and was last updated on 11/18/2014.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail Pharmacy5301009296MICHIGANYes

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
11699007542MEDICAIDMICHIGAN
22123723OTHERPK

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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