Provider Demographics
NPI:1952657504
Name:7 VAN DRUGS LLC
Entity Type:Organization
Organization Name:7 VAN DRUGS LLC
Other - Org Name:7 VAN DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:NASSER
Authorized Official - Middle Name:
Authorized Official - Last Name:MOZEP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-443-3970
Mailing Address - Street 1:7701 E 7 MILE RD
Mailing Address - Street 2:STE. A
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48234-3149
Mailing Address - Country:US
Mailing Address - Phone:313-642-1800
Mailing Address - Fax:313-733-8524
Practice Address - Street 1:7701 E 7 MILE RD STE A
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48234-3149
Practice Address - Country:US
Practice Address - Phone:313-733-8587
Practice Address - Fax:313-733-8524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-01
Last Update Date:2013-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
MI53010099353336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2137513OtherPK