Provider Demographics
NPI:1639606031
Name:SAVEMAX PHARMACY LLC
Entity Type:Organization
Organization Name:SAVEMAX PHARMACY LLC
Other - Org Name:SAVEMAX PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JUN
Authorized Official - Middle Name:A
Authorized Official - Last Name:XIAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-224-3181
Mailing Address - Street 1:231 NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49017-3463
Mailing Address - Country:US
Mailing Address - Phone:269-224-3181
Mailing Address - Fax:269-224-3180
Practice Address - Street 1:231 NORTH AVE
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49017-3463
Practice Address - Country:US
Practice Address - Phone:269-224-3181
Practice Address - Fax:269-224-3180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-16
Last Update Date:2017-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53010112133336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy