Healthcare Provider Details

I. General information

NPI: 1922040708
Provider Name (Legal Business Name): BRIGGS PRESCRIPTION LABORATORY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3741 MCDOUGALL ST
DETROIT MI
48207-2345
US

IV. Provider business mailing address

3741 MCDOUGALL ST
DETROIT MI
48207-2345
US

V. Phone/Fax

Practice location:
  • Phone: 313-923-0312
  • Fax: 313-923-0311
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number003173
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: RONALD BRIGGS
Title or Position: PRESIDENT OWNER
Credential:
Phone: 313-923-0312