Provider Demographics
NPI:1528401585
Name:HEIGHTS INKSTER PHARMACY INC
Entity Type:Organization
Organization Name:HEIGHTS INKSTER PHARMACY INC
Other - Org Name:HEIGHTS INKSTER PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:NAZIHA
Authorized Official - Middle Name:N
Authorized Official - Last Name:BAYDOUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-551-3062
Mailing Address - Street 1:349 INKSTER RD
Mailing Address - Street 2:
Mailing Address - City:INKSTER
Mailing Address - State:MI
Mailing Address - Zip Code:48141-1208
Mailing Address - Country:US
Mailing Address - Phone:313-551-3062
Mailing Address - Fax:313-551-3860
Practice Address - Street 1:349 INKSTER RD
Practice Address - Street 2:
Practice Address - City:INKSTER
Practice Address - State:MI
Practice Address - Zip Code:48141-1208
Practice Address - Country:US
Practice Address - Phone:313-551-3062
Practice Address - Fax:313-551-3860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-09
Last Update Date:2015-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy