NPI 1023887676
Clintonville Pharmacy LLC
Practice location
- Address
- 4494 Clintonville Rd, Waterford, MI 48329-2307
- Phone
- (810) 241-2048
Authorised official
- Name
- Pankajkumar Patel
- Title
- Pharmacy Manager
- Phone
- (810) 241-2048
Registered specialties
Pharmacy
Primary
Registry record
- NPI
- 1023887676
- Entity type
- Organization
- NPI issued
- 22 Dec 2023
- Record last updated
- 25 Dec 2023
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.