MEDICARE: SAV-MED PHARMACY INC

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
1	3336C0003X	Community/Retail Pharmacy	5301010610	MI

General Provider Information

NPI Number	:	1508264102
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAV-MED PHARMACY INC

Provider Business Mailing Address
First Line	:	52731 TUSCANY GRV
Second Line	:
City	:	SHELBY TWP
State	:	MI
Zip	:	48315-2083
Country	:	US
Telephone Number	:	313-868-0940
Fax Number	:	313-868-0941

Provider Business Practice Location Address
First Line	:	2645 WEST DAVISON
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48238
Country	:	US
Telephone Number	:	313-868-0940
Fax Number	:	313-868-0941

Authorized Official
Title or Position	:	OWNER
Name	:	MR. HANNA A EID
Credential	:	RPH
Telephone Number	:	586-770-7586

Provider Enumeration Date	:	12/12/2014
Last Update Date	:	07/16/2015

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Directions to “SAV-MED PHARMACY INC ” Practice Location

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