MEDICARE: FLORAS PHARMACY 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
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1750079794
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORAS PHARMACY LLC

Provider Business Mailing Address
First Line	:	6031 19 MILE RD STE A
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48314-2181
Country	:	US
Telephone Number	:	586-321-5393
Fax Number	:

Provider Business Practice Location Address
First Line	:	6031 19 MILE RD STE A
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48314-2181
Country	:	US
Telephone Number	:	586-321-5393
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	FLORA BRIKHO
Credential	:
Telephone Number	:	586-321-5393

Provider Enumeration Date	:	04/27/2023
Last Update Date	:	04/27/2023

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Directions to “FLORAS PHARMACY LLC ” Practice Location

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