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ST JOSEPH MERCY PROFESSIONAL PHARMACY

Medical Equipment Supplier Yellow Pages

Pontiac, Michigan

Provider NPI: 1508909847

Organization Information:
Organization Name:  ST JOSEPH MERCY PROFESSIONAL PHARMACY


Practice Location:
44405 WOODWARD AVE B116 PONTIAC, MI 48341 US
Tel: 248-305-7985  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3336H0001XSuppliers
Pharmacy
Home Infusion Therapy Pharmacy

Other Provider Identifiers:

IssuerNumberStateType
BCBS DMEOF316770MI01
4168922MI05
BCBS HITOF300520MI01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




JOBS MI - Page 1



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