MEDICARE: CANTON ONE 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

Other Identifiers

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

General Provider Information

NPI Number	:	1952274631
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CANTON ONE PHARMACY INC

Provider Business Mailing Address
First Line	:	8557 N LILLEY RD
Second Line	:
City	:	CANTON
State	:	MI
Zip	:	48187-2091
Country	:	US
Telephone Number	:	734-905-0100
Fax Number	:

Provider Business Practice Location Address
First Line	:	8557 N LILLEY RD
Second Line	:
City	:	CANTON
State	:	MI
Zip	:	48187-2091
Country	:	US
Telephone Number	:	734-905-0100
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MUHAMMAD AMIR
Credential	:
Telephone Number	:	734-905-0100

Provider Enumeration Date	:	09/27/2025
Last Update Date	:	03/03/2026

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Directions to “CANTON ONE PHARMACY INC ” Practice Location

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