PHARMOR PHARMACY EVERGREEN NPI 1962801373

NPI Information

PHARMOR PHARMACY EVERGREEN is a point of service in Detroit, MI. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. PHARMOR PHARMACY EVERGREEN NPI is 1962801373. The provider is registered as an organization entity type.

The provider's business location address is:

20250 WEST 7 MILE ROAD
DETROIT, MI
ZIP 48219
Phone: (313) 535-9755

The provider's authorized official is Nisar Ahmed .
The authorized official title is Pharmacist In Charge and has the following contact phone number (313) 535-9755.

The enumeration date for this NPI number is 8/21/2014 and was last updated on 8/21/2014.

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:

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