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NPI Code Detail

MEDICARE: SHREE PHARMACY

MEDICARE: SHREE PHARMACY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy
23336C0002XClinic Pharmacy
33336C0004XCompounding Pharmacy
43336S0011XSpecialty Pharmacy
53336C0003XCommunity/Retail Pharmacy5301009610MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12375663OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number : 1104112192
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHREE PHARMACY
Provider Business Mailing Address
First Line : 3499 S LINDEN RD STE 2A
Second Line :
City : FLINT
State : MI
Zip : 48507-3022
Country : US
Telephone Number : 810-820-8121
Fax Number : 810-820-8335
Provider Business Practice Location Address
First Line : 3499 S LINDEN RD STE 2A
Second Line :
City : FLINT
State : MI
Zip : 48507-3022
Country : US
Telephone Number : 810-820-8121
Fax Number : 810-820-8335
Authorized Official
Title or Position : PHARMACIST
Name : TUSHAR SHAH
Credential :
Telephone Number : 989-971-1402
Provider Enumeration Date : 06/28/2011
Last Update Date : 07/18/2011

Similar Medicare Providers

1467273722 — ELIZABETH WESTLAKE
Practice Location Address:
3499 S LINDEN RD STE 2
FLINT, MI
48507-3022
Practice Phone: 248-336-4000
Practice Fax: 248-336-9137
1013906700 — DR. DONALD J HARDMAN MD
Practice Location Address:
3499 S LINDEN RD STE 2
FLINT, MI
48507-3022
Practice Phone: 810-820-8121
Practice Fax: 810-820-8335
1154360378 — DR. EUGENE N CHARDOUL M.D.
Practice Location Address:
3499 S LINDEN RD , SUITE 2
FLINT, MI
48507-3022
Practice Phone: 810-820-8121
Practice Fax: 810-820-8335
1639318892 — DONALD J HARDMAN MD PC
Practice Location Address:
3499 S LINDEN RD , SUITE 2
FLINT, MI
48507-3022
Practice Phone: 810-820-8121
Practice Fax: 810-820-8335
1386949923 — DONALD J HARDMAN MD PC
Practice Location Address:
3499 S LINDEN RD , SUITE 2
FLINT, MI
48507-3022
Practice Phone: 810-820-8121
Practice Fax: 810-820-8335
1588945091 — COMPREHENSIVE MEDICAL GROUP PC
Practice Location Address:
3499 S LINDEN RD , SUITE 2
FLINT, MI
48507-3022
Practice Phone: 810-820-8121
Practice Fax: 810-820-8335

Directions to “SHREE PHARMACY ” Practice Location

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