Nebojsa Nikolovski

Individual provider Active NPI Pharmacist · Washington Township, MI

NPI 1497921746 · NPPES record last updated May 7, 2008

Key facts

NPI
1497921746
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
5302031091 (MI)
Practice address
66998 Van Dyke Rd
Washington Township, MI 48095-2001
Phone
(586) 752-3561
Fax
(586) 752-3069
NPI assigned
May 7, 2008
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5302031091MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Perry Drug Stores Inc and Subsidiaries Past Accepting new patients
Perry Drug Stores Inc and Subsidiaries Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302031091 MI Yes

Addresses

Primary practice location

66998 Van Dyke Rd
Washington Township, MI 48095-2001

Mailing address

66998 Van Dyke Rd
Washington TWP, MI 48095-2001

Other providers in Washington Township, MI

All providers in Washington Township, MI · Pharmacist in Michigan

Sources for this page

Verify at the official NPI Registry.