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Derossi S Pharmacy LLC

Pharmacy, Community/Retail Pharmacy in Southgate, MI. Organization (NPI-2).

NPI number1306137864
StatusActive
Last updated in NPPESMay 20, 2011

Details

NPI
1306137864
Entity type
Organization (NPI-2)
Legal business name
Derossi S Pharmacy LLC
Organization subpart
No
Enumeration date
May 2, 2011
Last updated
May 20, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy5301009569MIYes
333600000X Pharmacy––

Other names

  • Derossi'S Pharmacy (Doing Business As)

Practice location

15348 Fort St
Southgate, MI 48195-1304

Phone 734-246-8800 · Fax 734-246-8808

Mailing address

15348 Fort St
Southgate, MI 48195-1304

Phone 734-246-8800 · Fax 734-246-8808

Authorized official

Sachin Patel
President
7342468800

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