22835 Van Dyke Drugs INC
Pharmacy, Community/Retail Pharmacy in Warren, MI. Organization (NPI-2).
NPI number1992813364
StatusActive
Last updated in NPPESSep 29, 2016
Details
- NPI
- 1992813364
- Entity type
- Organization (NPI-2)
- Legal business name
- 22835 Van Dyke Drugs INC
- Organization subpart
- No
- Enumeration date
- Aug 27, 2006
- Last updated
- Sep 29, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 5301010985 | MI | Yes |
Other names
- Sussex Drugs (Doing Business As)
Practice location
22835 Van Dyke AveWarren, MI 48089-2356
Phone 586-757-6505 · Fax 586-757-7785
Mailing address
22835 Van Dyke AveWarren, MI 48089-2356
Phone 586-757-6505 · Fax 586-757-7785
Authorized official
Neil Tubben
President
5867576505
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