Healthcare Provider Details

I. General information

NPI: 1396753877
Provider Name (Legal Business Name): JOSEPH A LANZON RPH PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 03/19/2024
Certification Date: 03/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11589 FARMINGTON RD
LIVONIA MI
48150-5729
US

IV. Provider business mailing address

11589 FARMINGTON RD
LIVONIA MI
48150-5729
US

V. Phone/Fax

Practice location:
  • Phone: 734-427-2400
  • Fax: 734-261-6139
Mailing address:
  • Phone: 734-427-2400
  • Fax: 734-261-6139

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number5301004975
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: AAMIR UDDIN
Title or Position: OWNER
Credential: PHARMD
Phone: 734-427-2400