Healthcare Provider Details

I. General information

NPI: 1780078428
Provider Name (Legal Business Name): CAREWELL PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2015
Last Update Date: 02/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41940 HAYES RD
CLINTON TOWNSHIP MI
48038-5841
US

IV. Provider business mailing address

41940 HAYES RD
CLINTON TOWNSHIP MI
48038-5841
US

V. Phone/Fax

Practice location:
  • Phone: 586-221-2829
  • Fax: 586-221-2831
Mailing address:
  • Phone: 586-221-2829
  • Fax: 586-221-2831

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number5301010648
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: RAJANI THOMAS
Title or Position: PHARMACIST
Credential:
Phone: 586-604-3093