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

South Lyon Pharmacy LLC

Organization Community/Retail Pharmacy · NPI 1699580092

South Lyon Pharmacy LLC is a Community/Retail Pharmacy in South Lyon, Michigan. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

22894 Pontiac Trl
South Lyon, MI 48178-1640
Phone: (248) 896-1286
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X

Record details

NPI number1699580092
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Niravumar Bhavsar — Pharmacy Manager · (248) 446-7071
Other names South Lyon Pharmacy; South Lyon Pharmacy
NPI enumeratedFebruary 11, 2025
Last updated in NPPESMarch 2, 2025
Certification dateMarch 2, 2025
Mailing address22894 Pontiac Trl, South Lyon, MI 48178-1640