Provider Demographics
NPI:1386027720
Name:PEOPLES MEDICAL PHARMACY
Entity Type:Organization
Organization Name:PEOPLES MEDICAL PHARMACY
Other - Org Name:PEOPLES MEDICAL PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BHUPINDER
Authorized Official - Middle Name:
Authorized Official - Last Name:THANDI
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:313-925-8000
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:313-925-8000
Mailing Address - Fax:313-925-8008
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:313-925-8000
Practice Address - Fax:313-925-8008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-02
Last Update Date:2016-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5301010695333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2152979OtherPK