location
search-icon
institution
Pontiac Trail Pharmacy Inc
Long Term Care Pharmacy in Walled Lake, Michigan
NPI 1902914377

Pontiac Trail Pharmacy Inc is a Long Term Care Pharmacy based in Novi, MI and is specialized in Long Term Care Pharmacy. Pontiac Trail Pharmacy Inc practices in Walled Lake, MI. The NPI Number for Pontiac Trail Pharmacy Inc is 1902914377 and holds a License No. (Michigan).

The current practice location address for Pontiac Trail Pharmacy Inc is 620 N. Pontiac Trail, Walled Lake, MI and can be reached out via phone at 248-669-2776 and via fax at 248-669-2835.

Location: 620 N. Pontiac Trail, Walled Lake, MI, 48376-8026
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902914377
Provider Name
Pontiac Trail Pharmacy Inc
Credential
Provider Entity Type
Organization
Address
620 N. Pontiac Trail, Walled Lake, MI, 48376-8026
Phone Number
248-669-2776
Fax Number
248-669-2835
Provider Enumeration Date
08/27/2006
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
2338689 05 MI
1665835 05 MI
1649484 05 MI
2338689 01 OTHER ID NUMBER
institution
Provider Business Practice Location Address Details
Address
620 N. Pontiac Trail
City
Walled Lake
State
Michigan
Zip
48390
Phone Number
248-669-2776
Fax Number
248-669-2835
person
Provider Business Mailing Address Details
Address
620 N. Pontiac Trail
City
Walled Lake
State
Michigan
Zip
48390
Phone Number
248-669-2776
Fax Number
248-669-2835
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
5301004197 (Michigan)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
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 4
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
()
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.