Healthcare Provider Details

I. General information

NPI: 1689909640
Provider Name (Legal Business Name): RISING INTERNATIONAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2009
Last Update Date: 09/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7635 E 8 MILE RD
WARREN MI
48091-2946
US

IV. Provider business mailing address

7635 E 8 MILE RD
WARREN MI
48091-2946
US

V. Phone/Fax

Practice location:
  • Phone: 586-756-0512
  • Fax: 586-756-0523
Mailing address:
  • Phone: 586-756-0512
  • Fax: 586-756-0523

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number5301009217
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MAQSOOD AHMAD
Title or Position: PHARMACY MANAGER
Credential:
Phone: 586-756-0521