Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eastside Pharmacy Inc

Organization Pharmacy · NPI 1720212681

Eastside Pharmacy Inc is a Pharmacy in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2009.

Licensed in
MI
In the registry since
2009
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11854 E Warren Ave
Detroit, MI 48214-1664
Phone: (313) 579-1755
Fax: (313) 579-2067
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 5301009095 (MI)
Pharmacy Taxonomy 333600000X
Compounding Pharmacy Taxonomy 3336C0004X

Record details

NPI number1720212681
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sam Khreizat — Owner · (313) 579-1755
Other names Eastside Pharmacy
NPI enumeratedMay 7, 2009
Last updated in NPPESNovember 13, 2014
Mailing address11854 E Warren Ave, Detroit, MI 48214-1664

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