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NPI Code Detail

MEDICARE: BROTHERS PHARMACY INC

MEDICARE: BROTHERS 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
1332B00000XDurable Medical Equipment & Medical Supplies
2333600000XPharmacy
33336S0011XSpecialty Pharmacy
43336C0003XCommunity/Retail Pharmacy5301009152MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12121093OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619107158
Entity Type Code : Organization
Provider Name (Legal Business Name) : BROTHERS PHARMACY INC
Provider Business Mailing Address
First Line : 118 W PIERSON RD
Second Line :
City : FLINT
State : MI
Zip : 48505-3348
Country : US
Telephone Number : 810-410-8461
Fax Number : 810-785-7770
Provider Business Practice Location Address
First Line : 118 W PIERSON RD
Second Line :
City : FLINT
State : MI
Zip : 48505-3348
Country : US
Telephone Number : 810-785-7770
Fax Number : 810-785-7700
Authorized Official
Title or Position : MANAGER
Name : CHANDULAL PATEL
Credential :
Telephone Number : 810-410-8461
Provider Enumeration Date : 07/17/2009
Last Update Date : 10/27/2020

Similar Medicare Providers

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Practice Location Address:
122 W PIERSON RD
FLINT, MI
48505-3348
Practice Phone: 810-228-4626
Practice Fax:
1528663929 — MRS. ALISHA MARIE WILLIAMS FNP-C
Practice Location Address:
102 W PIERSON RD
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Practice Phone: 810-222-3033
Practice Fax:
1871568402 — MARK A BUSTAMANTE MD
Practice Location Address:
102 W PIERSON RD
FLINT, MI
48505-3348
Practice Phone: 810-222-3033
Practice Fax:
1013940188 — RACHAEL A KASPEROWICZ MD
Practice Location Address:
102 W PIERSON RD
FLINT, MI
48505-3348
Practice Phone: 810-222-3033
Practice Fax: 810-407-5729
1336252329 — SANDRA MENS MANSSUR NP
Practice Location Address:
102 W PIERSON RD
FLINT, MI
48505-3348
Practice Phone: 810-222-3033
Practice Fax:
1427249408 — DR. CHARLES LUDEKE LOREDO D.O.
Practice Location Address:
102 W PIERSON RD
FLINT, MI
48505-3348
Practice Phone: 810-222-3033
Practice Fax: 810-407-5729

Directions to “BROTHERS PHARMACY INC ” Practice Location

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