Healthcare Provider Details

I. General information

NPI: 1497492888
Provider Name (Legal Business Name): FLINT PHARMACY MI LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2022
Last Update Date: 04/21/2023
Certification Date: 04/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

G-3333 BEECHER ROAD SUITE B
FLINT MI
48532
US

IV. Provider business mailing address

G3333 BEECHER RD
FLINT MI
48532-3619
US

V. Phone/Fax

Practice location:
  • Phone: 810-234-5500
  • Fax: 810-230-9988
Mailing address:
  • Phone: 810-230-9900
  • Fax: 810-230-9988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: HEMA PATEL
Title or Position: OWNER
Credential:
Phone: 888-839-0929