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NPI Code Detail

MEDICARE: IHEALTH PHARMACY LLC

MEDICARE: IHEALTH PHARMACY 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
1333600000XPharmacy
23336C0003XCommunity/Retail Pharmacy5301010672MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12153287OTHERPK

General Provider Information

NPI Number : 1942565585
Entity Type Code : Organization
Provider Name (Legal Business Name) : IHEALTH PHARMACY LLC
Provider Business Mailing Address
First Line : 25880 OUTER DR STE C
Second Line :
City : LINCOLN PARK
State : MI
Zip : 48146-1553
Country : US
Telephone Number : 313-633-0021
Fax Number : 313-633-0429
Provider Business Practice Location Address
First Line : 25880 OUTER DR STE C
Second Line :
City : LINCOLN PARK
State : MI
Zip : 48146-1553
Country : US
Telephone Number : 313-633-0021
Fax Number : 313-633-0429
Authorized Official
Title or Position : OWNER, PIC, AO
Name : ABDUL CHUDHRY
Credential : RPH
Telephone Number : 313-633-0021
Provider Enumeration Date : 07/10/2012
Last Update Date : 05/29/2021

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Directions to “IHEALTH PHARMACY LLC ” Practice Location

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