Healthcare Provider Details
I. General information
NPI: 1972772069
Provider Name (Legal Business Name): SAX DISCOUNT PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/22/2008
Last Update Date: 02/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
22525 WICK RD
TAYLOR MI
48180-3531
US
IV. Provider business mailing address
22525 WICK RD
TAYLOR MI
48180-3531
US
V. Phone/Fax
- Phone: 313-292-3755
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ROBERT
M
ARMSTRONG
Title or Position: OWNER
Credential: R.PH.
Phone: 313-292-3755