Provider Demographics
NPI:1144689811
Name:STERLING CITY PHARMACY INC
Entity type:Organization
Organization Name:STERLING CITY PHARMACY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:UDDAY
Authorized Official - Middle Name:KIHIDIR
Authorized Official - Last Name:KALASHO
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:248-943-0629
Mailing Address - Street 1:35450 DEQUINDRE RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310
Mailing Address - Country:US
Mailing Address - Phone:248-268-1641
Mailing Address - Fax:248-268-1764
Practice Address - Street 1:35450 DEQUINDRE RD
Practice Address - Street 2:SUITE 102
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310
Practice Address - Country:US
Practice Address - Phone:248-268-1641
Practice Address - Fax:248-268-1764
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-23
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
MI53010108773336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2158224OtherPK