Provider Demographics
NPI:1235307414
Name:WARREN PRESCRIPTIONS
Entity type:Organization
Organization Name:WARREN PRESCRIPTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:248-855-1177
Mailing Address - Street 1:32910 MIDDLEBELT RD
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-1774
Mailing Address - Country:US
Mailing Address - Phone:248-855-1177
Mailing Address - Fax:248-855-6661
Practice Address - Street 1:32910 MIDDLEBELT RD
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-1774
Practice Address - Country:US
Practice Address - Phone:248-855-1177
Practice Address - Fax:248-855-6661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-11
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI0F30563333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0221850001Medicare UPIN