Healthcare Provider Details

I. General information

NPI: 1356066393
Provider Name (Legal Business Name): BATTLECREEK PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2022
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20284 W 8 MILE RD
SOUTHFIELD MI
48075-5660
US

IV. Provider business mailing address

20284 W 8 MILE RD
SOUTHFIELD MI
48075-5660
US

V. Phone/Fax

Practice location:
  • Phone: 313-838-1100
  • Fax: 313-838-1103
Mailing address:
  • Phone: 813-304-2221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MANISH PATEL
Title or Position: OWNER
Credential:
Phone: 813-304-2221