Provider Demographics
NPI:1326525965
Name:20201 WEST SEVEN MILE DRUGS INC
Entity Type:Organization
Organization Name:20201 WEST SEVEN MILE DRUGS INC
Other - Org Name:HEYDEN PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SAAD
Authorized Official - Middle Name:R
Authorized Official - Last Name:SHAFIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-533-8200
Mailing Address - Street 1:20201 W 7 MILE RD
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48219-3406
Mailing Address - Country:US
Mailing Address - Phone:313-533-8200
Mailing Address - Fax:313-533-8522
Practice Address - Street 1:20201 W 7 MILE RD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48219
Practice Address - Country:US
Practice Address - Phone:313-533-8200
Practice Address - Fax:313-533-8522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-26
Last Update Date:2018-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53010051803336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy