Provider Demographics
NPI:1942750583
Name:KDP DRUGS, INC.
Entity Type:Organization
Organization Name:KDP DRUGS, INC.
Other - Org Name:CORIUM DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIPTIBAHEN
Authorized Official - Middle Name:N
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-968-2174
Mailing Address - Street 1:1835 ASHBOURNE DR
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-5907
Mailing Address - Country:US
Mailing Address - Phone:734-968-2174
Mailing Address - Fax:734-250-8168
Practice Address - Street 1:9216 MIDDLEBELT RD
Practice Address - Street 2:SUITE B
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48150-4036
Practice Address - Country:US
Practice Address - Phone:734-968-2174
Practice Address - Fax:734-250-8168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-06
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy