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Centerline Pharmacy LLC

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

NPI number1760616189
StatusActive
Last updated in NPPESDec 22, 2010

Details

NPI
1760616189
Entity type
Organization (NPI-2)
Legal business name
Centerline Pharmacy LLC
Organization subpart
No
Enumeration date
May 13, 2009
Last updated
Dec 22, 2010

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy5301009113MIYes
3336C0004X Pharmacy, Compounding Pharmacy––

Other names

  • Centerline Pharmacy (Doing Business As)

Practice location

8033 E 10 Mile Rd
Ste 103
Center Line, MI 48015-1427

Phone 586-427-5344

Mailing address

8033 E 10 Mile Rd
Ste 103
Center Line, MI 48015-1427

Authorized official

Rahul Kochhar
Pharmacy Manager
5864275344

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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