Woodward Detroit Cvs, L.L.C. in South Lyon - Pharmacy

Woodward Detroit Cvs, L.L.C. - NPI 1780796623

Woodward Detroit Cvs, L.L.C. is a Pharmacy in South Lyon, Michigan. Woodward Detroit Cvs, L.L.C. practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Woodward Detroit Cvs, L.L.C. is 1780796623. The last update date is 2012-02-29.

Woodward Detroit Cvs, L.L.C.'s current location address is 22421 Pontiac Trl, South Lyon, Michigan. You can contact this provider via phone number 2484378131 and fax number 2484377016. The mailing address for Woodward Detroit Cvs, L.L.C. is 22421 Pontiac Trl, South Lyon, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Woodward Detroit Cvs, L.L.C.
Address 22421 Pontiac Trl, South Lyon, Michigan
Phone Number 2484378131
Fax Number 2484377016
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR
Authorized Official Name Colbert Susan
Telephone Number 4017651500

NPI Number Detail

NPI Number 1780796623
Provider Enumeration Date 2006-08-31
Last Updated Date 2012-02-29

Provider Mailing Address Detail

Address 22421 Pontiac Trl
City South Lyon
State Michigan (MI)
Post Code 481781642
Phone Number 2484378131
Fax Number 2484377016

Provider's Primary Taxonomy Detail

Speciality Pharmacy
Taxonomy 333600000X
Licence No 5301-005080
Definition:
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2340622 OTHER ID NUMBER-COMMERCIAL NUM
1757777 MI --

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FAQs about Woodward Detroit Cvs, L.L.C.

What is the unique 10-digit identification code assigned to Woodward Detroit Cvs, L.L.C. by the Centers for Medicare & Medicaid Services?

The Woodward Detroit Cvs, L.L.C. has been issued the NPI (National Provider Identifier) 1780796623, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Woodward Detroit Cvs, L.L.C. is located?

The Woodward Detroit Cvs, L.L.C. is situated at the following address: 22421 Pontiac Trl, South Lyon, MI, 481781642.

What is Woodward Detroit Cvs, L.L.C.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Woodward Detroit Cvs, L.L.C. is Pharmacy, and the taxonomy code that classifies this field of practice is 333600000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1780796623 to Woodward Detroit Cvs, L.L.C.?

The Centers for Medicare & Medicaid Services originally issued the 1780796623 to Woodward Detroit Cvs, L.L.C. on 2006-08-31.

When was the information related to Woodward Detroit Cvs, L.L.C. most recently updated or refreshed?

The details pertaining to the Woodward Detroit Cvs, L.L.C., including its address, specialty, and other relevant information, were last updated or refreshed on 2012-02-29.

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