Healthcare Provider Details

I. General information

NPI: 1093258915
Provider Name (Legal Business Name): PCS PHARMACEUTICALS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2016
Last Update Date: 01/13/2024
Certification Date: 01/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27472 SCHOENHERR RD STE 1OO
WARREN MI
48088-6688
US

IV. Provider business mailing address

801 S ADAMS RD SUITE 204
BIRMINGHAM MI
48009-7016
US

V. Phone/Fax

Practice location:
  • Phone: 248-289-7054
  • Fax: 248-289-7102
Mailing address:
  • Phone: 248-289-7054
  • Fax: 248-289-7102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number5301011067
License Number StateMI

VIII. Authorized Official

Name: KAMIL SABA
Title or Position: PHARMACIST
Credential:
Phone: 248-289-7054