Organization

Pontiac General Hospital Pharmacy Inc.

Community/Retail Pharmacy in Pontiac, MI(View on Map)

Legal Business Name

Pontiac General Hospital Pharmacy Inc.

NPI Number

1568954014

NPI Type

Organization

Enumeration Date

05/31/2018

Specialties

(Taxonomies)

Code

3336C0003X
251F00000X
3336I0012X
3336S0011X

Primary Taxonomy

Yes
No
No
No

Licenses

State

Michigan

License Number

5301011400

Contact
Information

Purpose

Mailing
Location

Address

461 W HURON ST STE 111
461 W HURON ST STE 111

City

Pontiac
Pontiac

State

MI
MI

Postal Code

48341-1601
48341-1601

Country

US
US

Telephone Number

(248) 859-0020
(248) 859-0020

Authorized Official

Name

Mansoor Khan

Title or Position

PHARMACIST-IN-CHARGE/OWNER

Telephone Number

(586) 596-4198

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/12/2018

Provider Address

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