Healthcare Provider Details

I. General information

NPI: 1316639958
Provider Name (Legal Business Name): ALMONT PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2023
Last Update Date: 08/15/2023
Certification Date: 08/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4545 VAN DYKE RD
ALMONT MI
48003-8511
US

IV. Provider business mailing address

4545 VAN DYKE RD
ALMONT MI
48003-8511
US

V. Phone/Fax

Practice location:
  • Phone: 810-634-3164
  • Fax: 810-673-3141
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CHACKO JOSEPH PUTHENTHARAYIL
Title or Position: OWNER/PRESIDENT
Credential: PHARMACIST
Phone: 248-946-7725