Organization · Type 2 NPI
Executive Infusion Services LLC
Clinic Pharmacy · Grand Blank, MI
NPI number
1548712979
Active
Practice location
12821 D-13 S. Saqinaw St
Grand Blank, MI 48439
Fax (313) 982-3221
Mailing address
17000 Executive Plaza Dr, Suite 201 - B
Dearborn, MI 48126-2793
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | None listed |
| Clinic Pharmacy Primary | 3336C0002X | 5301010096 (MI) |
| Home Infusion Therapy Pharmacy | 3336H0001X | None listed |
Clinic Pharmacy: A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
About NPI 1548712979
Executive Infusion Services LLC's National Provider Identifier is 1548712979, issued on Nov 2, 2016. The primary taxonomy on file is Clinic Pharmacy (3336C0002X), and the practice location is in Grand Blank, MI. The record was last updated on Dec 21, 2016.