South Lyon Pharmacy LLC

NPI #1699580092 in South Lyon, Michigan

Provider Information

NPI Number
1699580092
Entity Type
Organization
Organization Name
South Lyon Pharmacy LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Feb 11, 2025
Last Updated
Mar 2, 2025

Practice Location

Address
22894 PONTIAC TRL
ZIP Code
48178-1640
Phone
(248) 896-1286

Authorized Official

Name
NIRAVUMAR BHAVSAR, PHARMACIST
Title
PHARMACY MANAGER
Phone
(248) 446-7071

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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