Healthcare Provider Details

I. General information

NPI: 1831035138
Provider Name (Legal Business Name): FARMBROOK FAMILY PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29877 TELEGRAPH RD STE 101
SOUTHFIELD MI
48034-7658
US

IV. Provider business mailing address

3640 BIDDLE AVE STE A
WYANDOTTE MI
48192-6515
US

V. Phone/Fax

Practice location:
  • Phone: 248-450-3133
  • Fax: 248-450-3163
Mailing address:
  • Phone: 734-556-3133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MRS. LEXI MARIE LEMONDS
Title or Position: ADMINISTRATIVE MANAGER
Credential: CPHT
Phone: 734-556-3133