NPI 1003129982
Canton Specialty Pharmacy LLC
Practice location
- Address
- 305 N Lilley Rd, Canton, MI 48187-3908
- Phone
- (734) 259-6700
- Fax
- (734) 259-6707
Authorised official
- Name
- Diaa Berry
- Title
- Sole Member/Pharmacist
- Phone
- (734) 259-6700
Registered specialties
Community/Retail Pharmacy
Primary
Registry record
- NPI
- 1003129982
- Entity type
- Organization
- NPI issued
- 20 Jul 2010
- Record last updated
- 15 Oct 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.