Provider Demographics
NPI:1508408246
Name:CORSOCARE PHARMACY SERVICES LLC
Entity Type:Organization
Organization Name:CORSOCARE PHARMACY SERVICES LLC
Other - Org Name:CORSOCARE PHARMACY SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:APPLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-438-1507
Mailing Address - Street 1:25790 COMMERCE DR
Mailing Address - Street 2:
Mailing Address - City:MADISON HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48071-4157
Mailing Address - Country:US
Mailing Address - Phone:586-933-7591
Mailing Address - Fax:
Practice Address - Street 1:21571 KELLY RD
Practice Address - Street 2:
Practice Address - City:EASTPOINTE
Practice Address - State:MI
Practice Address - Zip Code:48021-3213
Practice Address - Country:US
Practice Address - Phone:586-755-3830
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-15
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy