Provider Demographics
NPI:1942527726
Name:PSR2 LTD
Entity Type:Organization
Organization Name:PSR2 LTD
Other - Org Name:BETTER CARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JANMEYJAY
Authorized Official - Middle Name:
Authorized Official - Last Name:VYAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-486-1730
Mailing Address - Street 1:13430 E 13 MILE RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48088-3187
Mailing Address - Country:US
Mailing Address - Phone:586-486-1730
Mailing Address - Fax:586-486-1735
Practice Address - Street 1:13430 E 13 MILE RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48088-3187
Practice Address - Country:US
Practice Address - Phone:586-486-1730
Practice Address - Fax:586-486-1731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-03
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53010093453336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2374053OtherNCPDP PROVIDER IDENTIFICATION NUMBER