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CROWN SPECIALTY PHARMACY LLC NPI 1184750713


NPI Information

NPI: 1184750713
Provider Name: CROWN SPECIALTY PHARMACY LLC

Doing Business As: CROWN PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 23D2276885

Address:
24401 PLYMOUTH RD
REDFORD, MI
ZIP 48239
Phone: (313) 532-3784
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CROWN SPECIALTY PHARMACY LLC is a community/retail pharmacy pharmacy in Redford, MI. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. CROWN SPECIALTY PHARMACY LLC NPI is 1184750713. The provider is registered as an organization entity type.
The provider Is Doing Business As Crown Pharmacy.

The provider's business location address is:

24401 PLYMOUTH RD
REDFORD, MI
ZIP 48239-616
Phone: (313) 532-3784
Fax: (313) 532-3718

The provider's authorized official is Ali Jamil Fakih .
The authorized official title is President and has the following contact phone number (313) 532-3784.

The CLIA number assigned to this NPI record is 23D2276885 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/26/2007 and was last updated on 11/22/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336L0003XPharmacyLong Term Care PharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy5301010295MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12346802MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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