Canton Specialty Pharmacy Llc
Community/Retail Pharmacy
305 N Lilley Rd, Canton
Michigan, 48187-3908
734-259-6700 734-259-6707
Canton Specialty Pharmacy Llc is a Community/Retail Pharmacy in Canton, Michigan. It is located at 305 N Lilley Rd, Canton and it's customer support contact number is 734-259-6700. The authorized person of Canton Specialty Pharmacy Llc is Diaa Berry, RPH who is Sole Member/pharmacist of the pharmacy and his contact number is 734-259-6700. Active license number of Canton Specialty Pharmacy Llc is 5301009443 for Community/Retail Pharmacy in Michigan. Canton Specialty Pharmacy Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Canton Specialty Pharmacy Llc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Canton Specialty Pharmacy Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Canton Specialty Pharmacy Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 305 N Lilley Rd, Canton,
Michigan, 48187-3908 |
| Phone: | 734-259-6700 |
| Fax: | 734-259-6707 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Diaa Berry |
| Credentials: | RPH |
| Position: | Sole Member/pharmacist |
| Contact Number: | 734-259-6700 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1003129982 |
| NPI Enumeration Date: | 20 Jul, 2010 |
| NPI Last Update On: | 15 Oct, 2015 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Canton Specialty Pharmacy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 5301009443 | Michigan | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2125886 | Other | | Pk |
Medicare Enrollment:
Canton Specialty Pharmacy Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 6305009812 | O20120521000377 | Canton Specialty Pharmacy Llc | DME SUPPLIER - PHARMACY |
Products Available:
Canton Specialty Pharmacy Llc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Commodes, Urinals, & Bedpans | • Heat & Cold Applications |
| • Nebulizer Equipment & Supplies | • Orthoses: Off-the-shelf |
| • Surgical Dressings | • Walkers |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 305 N Lilley Rd,
Canton, Michigan |
| Zip: | 48187-3908 |
| Phone Number: | 734-259-6700 |
| Fax Number: | 734-259-6707 |
Patients can reach Canton Specialty Pharmacy Llc at
305 N Lilley Rd, Canton, Michigan or can
call on customer care at 734-259-6700.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.