MEDICARE: BATTLECREEK PHARMACY INC

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

General Provider Information

NPI Number	:	1649404526
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BATTLECREEK PHARMACY INC

Provider Business Mailing Address
First Line	:	16311 GRAND RIVER AVE
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48227
Country	:	US
Telephone Number	:	313-838-1100
Fax Number	:	313-838-1103

Provider Business Practice Location Address
First Line	:	16311 GRAND RIVER AVE
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48227-1825
Country	:	US
Telephone Number	:	313-838-1100
Fax Number	:	313-838-1103

Authorized Official
Title or Position	:	OWNER
Name	:	MANISH PATEL
Credential	:
Telephone Number	:	813-304-2221

Provider Enumeration Date	:	05/07/2009
Last Update Date	:	05/30/2023

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Directions to “BATTLECREEK PHARMACY INC ” Practice Location

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