Provider Demographics
NPI:1386065126
Name:CLAWSON CARE PHARMACY LLC
Entity type:Organization
Organization Name:CLAWSON CARE PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAED
Authorized Official - Middle Name:
Authorized Official - Last Name:SOUED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-779-4131
Mailing Address - Street 1:117 W 14 MILE RD
Mailing Address - Street 2:
Mailing Address - City:CLAWSON
Mailing Address - State:MI
Mailing Address - Zip Code:48017-1965
Mailing Address - Country:US
Mailing Address - Phone:248-439-2400
Mailing Address - Fax:248-439-2404
Practice Address - Street 1:117 W 14 MILE RD
Practice Address - Street 2:
Practice Address - City:CLAWSON
Practice Address - State:MI
Practice Address - Zip Code:48017-1965
Practice Address - Country:US
Practice Address - Phone:248-439-2400
Practice Address - Fax:248-439-2404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-20
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy