Provider Demographics
NPI:1285016675
Name:SNF HOLDINGS LLC
Entity Type:Organization
Organization Name:SNF HOLDINGS LLC
Other - Org Name:CREAMS N CAPS MICHIGAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER,PIC,AO
Authorized Official - Prefix:
Authorized Official - First Name:FAYEZ
Authorized Official - Middle Name:
Authorized Official - Last Name:FARAJ
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:313-377-1321
Mailing Address - Street 1:25875 NOVI RD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375
Mailing Address - Country:US
Mailing Address - Phone:844-232-7098
Mailing Address - Fax:248-308-2635
Practice Address - Street 1:25875 NOVI RD
Practice Address - Street 2:SUITE 130
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-1678
Practice Address - Country:US
Practice Address - Phone:844-232-7098
Practice Address - Fax:248-308-2635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-23
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH29432333600000X
MI53010106893336C0003X
WI1525-433336C0003X
TX302403336C0003X
OK99-73553336C0003X
MO20150352643336C0003X
OHNRP.022535050-033336C0003X
IN64002140A3336C0003X
MN2648093336C0003X
AZY0068403336C0003X
IA45713336C0004X
IL054.0195383336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2152696OtherPK