MEDICARE: PEOPLES PHARMACY CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	5301009316	MI

General Provider Information

NPI Number	:	1255655130
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEOPLES PHARMACY CORP

Provider Business Mailing Address
First Line	:	7608 GRATIOT AVE
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48213-2822
Country	:	US
Telephone Number	:	313-600-1211
Fax Number	:

Provider Business Practice Location Address
First Line	:	7608 GRATIOT AVE
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48213-2822
Country	:	US
Telephone Number	:	313-600-1211
Fax Number	:

Authorized Official
Title or Position	:	PHARMACIST
Name	:	MR. HARVINDER SINGH SRAN
Credential	:
Telephone Number	:	313-600-1211

Provider Enumeration Date	:	03/20/2010
Last Update Date	:	03/20/2010

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Directions to “PEOPLES PHARMACY CORP ” Practice Location

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