Provider Demographics
NPI:1235299470
Name:TOP CARE PHARMACY INC
Entity type:Organization
Organization Name:TOP CARE PHARMACY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MUSTAPHA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMADI
Authorized Official - Suffix:
Authorized Official - Credentials:PHRM
Authorized Official - Phone:734-762-1500
Mailing Address - Street 1:27493 6 MILE RD
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-3834
Mailing Address - Country:US
Mailing Address - Phone:734-762-1500
Mailing Address - Fax:734-762-1515
Practice Address - Street 1:27493 6 MILE RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-3834
Practice Address - Country:US
Practice Address - Phone:734-762-1500
Practice Address - Fax:734-762-1515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
MI53010085473336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2044632OtherPK
MI4959444Medicaid
1303470001Medicare NSC