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NPI Code Detail

MEDICARE: THERA SCRIPT PHARMACY PLLC

MEDICARE: THERA SCRIPT PHARMACY PLLC
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
23336C0003XCommunity/Retail Pharmacy5301008559MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
32042549OTHERPK

General Provider Information

NPI Number : 1568527992
Entity Type Code : Organization
Provider Name (Legal Business Name) : THERA SCRIPT PHARMACY PLLC
Provider Business Mailing Address
First Line : 9740 CONANT ST
Second Line : SUITE 3
City : HAMTRAMCK
State : MI
Zip : 48212-3307
Country : US
Telephone Number : 313-875-7979
Fax Number : 313-875-4620
Provider Business Practice Location Address
First Line : 9740 CONANT ST
Second Line : SUITE 3
City : HAMTRAMCK
State : MI
Zip : 48212-3307
Country : US
Telephone Number : 313-875-7979
Fax Number : 313-875-4620
Authorized Official
Title or Position : MEMBER
Name : MOHAMMED UDDIN
Credential : PHARMD
Telephone Number : 313-875-7979
Provider Enumeration Date : 12/26/2006
Last Update Date : 12/08/2025

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Directions to “THERA SCRIPT PHARMACY PLLC ” Practice Location

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