Provider Demographics
NPI:1417665878
Name:EPIC HEALTH PHARMACY, PLLC
Entity Type:Organization
Organization Name:EPIC HEALTH PHARMACY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:NAMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:249-336-4000
Mailing Address - Street 1:18000 W 9 MILE RD FL 2
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-4017
Mailing Address - Country:US
Mailing Address - Phone:248-336-4000
Mailing Address - Fax:
Practice Address - Street 1:29829 TELEGRAPH RD STE L102
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-1376
Practice Address - Country:US
Practice Address - Phone:248-996-9209
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EXCLUSIVE PHYSICIANS PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-11-14
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy