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St. Clair Shore Pharmacy Mi Llc
Compounding Pharmacy in Saint Clair Shores, Michigan
NPI 1104260066

St. Clair Shore Pharmacy Mi Llc is a Compounding Pharmacy based in Saint Clair Shores, MI and is specialized in Compounding Pharmacy. St. Clair Shore Pharmacy Mi Llc practices in Saint Clair Shores, MI. The NPI Number for St. Clair Shore Pharmacy Mi Llc is 1104260066 and holds a License No. (Michigan).

The current practice location address for St. Clair Shore Pharmacy Mi Llc is 25014 Little Mack Ave, Saint Clair Shores, MI and can be reached out via phone at 586-359-6517 and via fax at 586-359-6523.

Location: 25014 Little Mack Ave, Saint Clair Shores, MI, 48080
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104260066
Provider Name
St. Clair Shore Pharmacy Mi Llc
Credential
Provider Entity Type
Organization
Address
25014 Little Mack Ave, Saint Clair Shores, MI, 48080
Phone Number
586-359-6517
Fax Number
586-359-6523
Provider Enumeration Date
04/23/2013
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2140011 01 PK
institution
Provider Business Practice Location Address Details
Address
25014 Little Mack Ave
City
Saint Clair Shores
State
Michigan
Zip
48080
Phone Number
586-359-6517
Fax Number
586-359-6523
person
Provider Business Mailing Address Details
Address
25014 Little Mack Ave
City
Saint Clair Shores
State
Michigan
Zip
48080
Phone Number
586-359-6517
Fax Number
586-359-6523
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
5315059314 (Michigan)
Definition
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.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
()
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
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