Healthcare Provider Details

I. General information

NPI: 1952657504
Provider Name (Legal Business Name): 7 VAN DRUGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2012
Last Update Date: 04/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7701 E 7 MILE RD STE A
DETROIT MI
48234-3149
US

IV. Provider business mailing address

7701 E 7 MILE RD STE. A
DETROIT MI
48234-3149
US

V. Phone/Fax

Practice location:
  • Phone: 313-733-8587
  • Fax: 313-733-8524
Mailing address:
  • Phone: 313-642-1800
  • Fax: 313-733-8524

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 Number5301009935
License Number StateMI

VIII. Authorized Official

Name: NASSER MOZEP
Title or Position: PHARMACIST
Credential:
Phone: 313-443-3970