Healthcare Provider Details

I. General information

NPI: 1629186093
Provider Name (Legal Business Name): SAX DISCOUNT PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2006
Last Update Date: 03/01/2011
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

Practice location:
  • Phone: 313-292-3755
  • Fax: 313-292-3784
Mailing address:
  • Phone: 313-292-3755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number5301005834
License Number StateMI

VIII. Authorized Official

Name: ROBERT M ARMSTRONG
Title or Position: OWNER
Credential: R.PH.
Phone: 313-292-3755