Pontiac Trail Pharmacy Inc
Pontiac Trail Pharmacy Inc is a Health Service Clinic/Center in Walled Lake, Michigan. Licensed in Michigan. Registered with an NPI since 2006.
- Licensed in
- MI
- In the registry since
- 2006
- Specialties on file
- 4
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
620 N Pontiac TrlWalled Lake, MI 48390
Phone: (248) 669-2776
Fax: (248) 669-2835
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence 5301004197 (MI) |
|---|---|
| Health Service Clinic/Center | Taxonomy 261QH0100X |
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X |
| Long Term Care Pharmacy | Taxonomy 3336L0003X |
Record details
| NPI number | 1902914377 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Carl Hendricks — Owner/R.Ph. · (248) 669-2776 |
| Other names | Pontiac Trail Medical Pharmacy |
| NPI enumerated | August 27, 2006 |
| Last updated in NPPES | August 1, 2017 |
| Mailing address | 43155 W. Nine Mile Rd., Novi, MI 48376-8026 |