Provider Demographics
NPI:1497381800
Name:STOPIN PHARMACY LLC
Entity Type:Organization
Organization Name:STOPIN PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNAMALAI
Authorized Official - Middle Name:
Authorized Official - Last Name:PERUMAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-822-0806
Mailing Address - Street 1:13636 DIX TOLEDO RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHGATE
Mailing Address - State:MI
Mailing Address - Zip Code:48195-2432
Mailing Address - Country:US
Mailing Address - Phone:734-288-3115
Mailing Address - Fax:734-288-0962
Practice Address - Street 1:13636 DIX TOLEDO RD
Practice Address - Street 2:
Practice Address - City:SOUTHGATE
Practice Address - State:MI
Practice Address - Zip Code:48195-2432
Practice Address - Country:US
Practice Address - Phone:734-288-3115
Practice Address - Fax:734-288-0962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-17
Last Update Date:2020-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy