Provider Demographics
NPI:1144594987
Name:PHARMASCRIPT OF MICHIGAN INC
Entity Type:Organization
Organization Name:PHARMASCRIPT OF MICHIGAN INC
Other - Org Name:PHARMASCRIPT OF MICHIGAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHADIA
Authorized Official - Middle Name:
Authorized Official - Last Name:TURFAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-435-3500
Mailing Address - Street 1:37484 INTERCHANGE DR
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48335-1023
Mailing Address - Country:US
Mailing Address - Phone:248-435-3500
Mailing Address - Fax:248-435-8643
Practice Address - Street 1:37484 INTERCHANGE DR
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48335-1023
Practice Address - Country:US
Practice Address - Phone:248-435-3500
Practice Address - Fax:248-435-8643
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-24
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53010097593336L0003X, 3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2134835OtherPK