Organization · NPI-2
Blooms Pharmacy LLC
Pharmacy, Community/Retail Pharmacy · Livonia, MI
NPI number1437609351
StatusActive
Last updated in NPPESDec 9, 2016
Details
- NPI
- 1437609351
- Entity type
- Organization (NPI-2)
- Legal business name
- Blooms Pharmacy LLC
- Organization subpart
- No
- Enumeration date
- Oct 4, 2016
- Last updated
- Dec 9, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 5301011056 | MI | Yes |
Practice location
16347 Middlebelt RdLivonia, MI 48154-3360
Phone 734-469-4657 · Fax 888-867-9794
Mailing address
16347 Middlebelt RdLivonia, MI 48154-3360
Phone 734-469-4657 · Fax 888-867-9794
Authorized official
Ali Cheaito
Pic
7344694657
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