Healthcare Provider Details

I. General information

NPI: 1831413814
Provider Name (Legal Business Name): S J & M DRUGS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2010
Last Update Date: 06/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2714 S NEWBURGH RD
WESTLAND MI
48186-9394
US

IV. Provider business mailing address

2714 S NEWBURGH RD
WESTLAND MI
48186-9394
US

V. Phone/Fax

Practice location:
  • Phone: 734-895-9140
  • Fax: 734-895-9137
Mailing address:
  • Phone: 734-895-9140
  • Fax: 734-895-9137

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number5301009355
License Number StateMI
# 4
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: SUJAL PATEL
Title or Position: PRESIDENT
Credential:
Phone: 313-574-3906