Provider Demographics
NPI:1669843488
Name:DISCOUNT DRUGS LLC
Entity type:Organization
Organization Name:DISCOUNT DRUGS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MGR, AO
Authorized Official - Prefix:
Authorized Official - First Name:ANIRUDDHA
Authorized Official - Middle Name:
Authorized Official - Last Name:PATHAK
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:734-224-6400
Mailing Address - Street 1:19145 ALLEN RD STE 105
Mailing Address - Street 2:
Mailing Address - City:BROWNSTOWN TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48183-6812
Mailing Address - Country:US
Mailing Address - Phone:734-224-6400
Mailing Address - Fax:734-224-6500
Practice Address - Street 1:19145 ALLEN RD STE 105
Practice Address - Street 2:
Practice Address - City:BROWNSTOWN TWP
Practice Address - State:MI
Practice Address - Zip Code:48183-6812
Practice Address - Country:US
Practice Address - Phone:734-224-6400
Practice Address - Fax:734-224-6500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-20
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0004X
MI53010107493336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2154710OtherPK