Healthcare Provider Details

I. General information

NPI: 1689514317
Provider Name (Legal Business Name): CLINTON CARE PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34025 HARPER AVE STE A
CLINTON TOWNSHIP MI
48035-3737
US

IV. Provider business mailing address

34025 HARPER AVE STE A
CLINTON TOWNSHIP MI
48035-3737
US

V. Phone/Fax

Practice location:
  • Phone: 586-782-6464
  • Fax: 586-859-0226
Mailing address:
  • Phone: 586-782-6464
  • Fax: 586-859-0226

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: SELMA DAHALIC
Title or Position: OFFICER
Credential:
Phone: 586-871-0916