Provider Demographics
NPI:1255655130
Name:PEOPLES PHARMACY CORP
Entity Type:Organization
Organization Name:PEOPLES PHARMACY CORP
Other - Org Name:PEOPLES PHARMACY CORP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:HARVINDER
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:SRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-600-1211
Mailing Address - Street 1:7608 GRATIOT AVE
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48213-2822
Mailing Address - Country:US
Mailing Address - Phone:313-600-1211
Mailing Address - Fax:
Practice Address - Street 1:7608 GRATIOT AVE
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48213-2822
Practice Address - Country:US
Practice Address - Phone:313-600-1211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-20
Last Update Date:2010-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53010093163336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy