MEDICARE: HEALTHY DRUGS LLC

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	5301008444	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2042328	OTHER		PK

General Provider Information

NPI Number	:	1457374357
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHY DRUGS LLC

Provider Business Mailing Address
First Line	:	827 INKSTER RD
Second Line	:
City	:	GARDEN CITY
State	:	MI
Zip	:	48135-4118
Country	:	US
Telephone Number	:	734-261-4100
Fax Number	:	734-261-0404

Provider Business Practice Location Address
First Line	:	827 INKSTER RD
Second Line	:
City	:	GARDEN CITY
State	:	MI
Zip	:	48135-4118
Country	:	US
Telephone Number	:	734-261-4100
Fax Number	:	734-261-0404

Authorized Official
Title or Position	:	OWNER
Name	:	HIAM BAZZI
Credential	:	RPH
Telephone Number	:	734-261-4100

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	06/18/2013

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