Provider Demographics
NPI:1326610346
Name:GUARDIAN DRUGS LLC
Entity Type:Organization
Organization Name:GUARDIAN DRUGS LLC
Other - Org Name:GUARDIAN DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:USHA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIRACKAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-826-0225
Mailing Address - Street 1:2519 LORENZO DR
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48314-4516
Mailing Address - Country:US
Mailing Address - Phone:313-826-0225
Mailing Address - Fax:
Practice Address - Street 1:1602 E 8 MILE RD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48203
Practice Address - Country:US
Practice Address - Phone:313-826-0225
Practice Address - Fax:313-826-0335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-12
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy