Provider Demographics
NPI:1568833176
Name:PEOPLE'S CHOICE PHARMACY
Entity Type:Organization
Organization Name:PEOPLE'S CHOICE PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER-PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARCELLOUS
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:313-245-8600
Mailing Address - Street 1:13600 E 8 MILE RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48205-1162
Mailing Address - Country:US
Mailing Address - Phone:313-245-8600
Mailing Address - Fax:
Practice Address - Street 1:13600 E 8 MILE RD
Practice Address - Street 2:SUITE D
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48205-1162
Practice Address - Country:US
Practice Address - Phone:313-245-8600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-08
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53020410513336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy