Healthcare Provider Details

I. General information

NPI: 1164641460
Provider Name (Legal Business Name): H AND M PHARMACY SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2007
Last Update Date: 02/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4250 N SAGINAW ST STE D
FLINT MI
48505-5332
US

IV. Provider business mailing address

4250 N SAGINAW ST STE D
FLINT MI
48505-5332
US

V. Phone/Fax

Practice location:
  • Phone: 810-787-9000
  • Fax: 810-787-1722
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number5301008173
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MANISH PATEL
Title or Position: PRESIDENT AND RPH
Credential: RPH
Phone: 810-230-9900