# CITIZENS PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Citizens pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215488689
- **Authorized official:** NADA JOUDI (PHARMACIST)
- **Authorized official phone:** (313) 855-6500

## Contact information

- **Practice address:** 15537 SCHOOLCRAFT ST, DETROIT, MI 48227-1755
- **Practice address phone:** (313) 770-7771
- **Mailing address:** 15537 SCHOOLCRAFT ST, DETROIT, MI 48227-1755
- **Mailing address phone:** (313) 770-7771

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 5301011028 | MI | Yes |

## Other

- **Enumeration date:** 10/20/2016
- **Last updated:** 10/20/2016