Provider Demographics
NPI:1669890034
Name:AUBURN PHARMACY
Entity type:Organization
Organization Name:AUBURN PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHAHLA
Authorized Official - Middle Name:H
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:734-674-8710
Mailing Address - Street 1:2040 W AUBURN RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48309-3628
Mailing Address - Country:US
Mailing Address - Phone:248-289-6637
Mailing Address - Fax:248-289-6118
Practice Address - Street 1:2040 W AUBURN RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48309-3628
Practice Address - Country:US
Practice Address - Phone:248-289-6637
Practice Address - Fax:248-289-6118
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:A A ASSOCIATES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-04-02
Last Update Date:2014-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53010103903336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy