HEALTH STREET PLLC NPI 1801107610

NPI Information

HEALTH STREET PLLC is a non pharmacy dispensing site in Canton, MI. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) HEALTH STREET PLLC NPI is 1801107610. The provider is registered as an organization entity type.

The provider's business location address is:

7321 N LILLEY RD
CANTON, MI
ZIP 48187-457
Phone: (734) 354-4210

The provider's authorized official is Vincent Rampersaud .
The authorized official title is Owner and has the following contact phone number (734) 483-9474.

The enumeration date for this NPI number is 6/25/2010 and was last updated on 3/1/2011.

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:

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