Provider Demographics
NPI:1831396894
Name:SAV-MOR DRUG STORES
Entity type:Organization
Organization Name:SAV-MOR DRUG STORES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:CODREAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-380-3610
Mailing Address - Street 1:25625 SOUTHFIELD ROAD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075
Mailing Address - Country:US
Mailing Address - Phone:248-348-1570
Mailing Address - Fax:248-348-4316
Practice Address - Street 1:25625 SOUTHFIELD ROAD
Practice Address - Street 2:SUITE 206
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075
Practice Address - Country:US
Practice Address - Phone:248-348-1570
Practice Address - Fax:248-348-4316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-02
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
596OtherNCPDP CHAIN CODE