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Eastside Pharmacy Inc

Community/Retail Pharmacy in Detroit, MI · enumerated 2006 · authorized official Stephen Graham, Mgr Pharmacy Services.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1336257708

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Registry record

Entity type Organization (Type 2)
Legal business name Eastside Pharmacy Inc
Other name <Unavail>
Practice address 11937 E Warren Ave, Detroit, MI, 48214
Fax (313) 579-2067
Enumeration date Aug 27, 2006
Last updated in NPPES Apr 15, 2008

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers · License 5301007485 (MI) Primary

Authorized official

Name Stephen Graham
Title Mgr Pharmacy Services

Other identifiers

Identifier Type State Issuer
2363428 Other - OTHER ID NUMBER
2363428 Medicaid MI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Eastside Pharmacy Inc?
The NPI for Eastside Pharmacy Inc is 1336257708, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Eastside Pharmacy Inc?
NPPES lists Stephen Graham (Mgr Pharmacy Services) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-04-15.