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NPI Code Detail

MEDICARE: DISCOUNT DRUGS LLC

MEDICARE: DISCOUNT DRUGS LLC
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
23336C0004XCompounding Pharmacy
33336C0003XCommunity/Retail Pharmacy5301010749MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12154710OTHERPK

General Provider Information

NPI Number : 1669843488
Entity Type Code : Organization
Provider Name (Legal Business Name) : DISCOUNT DRUGS LLC
Provider Business Mailing Address
First Line : 19145 ALLEN RD STE 105
Second Line :
City : BROWNSTOWN TWP
State : MI
Zip : 48183-6812
Country : US
Telephone Number : 734-224-6400
Fax Number : 734-224-6500
Provider Business Practice Location Address
First Line : 19145 ALLEN RD STE 105
Second Line :
City : BROWNSTOWN TWP
State : MI
Zip : 48183-6812
Country : US
Telephone Number : 734-224-6400
Fax Number : 734-224-6500
Authorized Official
Title or Position : MGR, AO
Name : ANIRUDDHA PATHAK
Credential : RPH
Telephone Number : 734-224-6400
Provider Enumeration Date : 10/20/2015
Last Update Date : 08/18/2022

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Directions to “DISCOUNT DRUGS LLC ” Practice Location

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