Provider Demographics
NPI:1689909640
Name:RISING INTERNATIONAL LLC
Entity Type:Organization
Organization Name:RISING INTERNATIONAL LLC
Other - Org Name:FOCUS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MAQSOOD
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-756-0521
Mailing Address - Street 1:7635 E 8 MILE RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48091-2946
Mailing Address - Country:US
Mailing Address - Phone:586-756-0512
Mailing Address - Fax:586-756-0523
Practice Address - Street 1:7635 E 8 MILE RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48091-2946
Practice Address - Country:US
Practice Address - Phone:586-756-0512
Practice Address - Fax:586-756-0523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-08
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53010092173336C0003X
3336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2373330OtherNCPDP PROVIDER IDENTIFICATION NUMBER