Organization
WYOMING DISCOUNT PHARMACY LLC
Active
Other names
Wyoming Discount Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOE BERRI (OWNER)
(313) 341-8888
Entity
Organization
Contact information
Practice address
18200 WYOMING ST, DETROIT, MI 48221-2032
(313) 341-8888
(313) 342-8888
Mailing address
18200 WYOMING ST, DETROIT, MI 48221-2032
(313) 341-8888
(313) 342-8888
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301010556
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2147661
PK
—
Enumeration date
06/25/2014
Last updated
02/20/2017
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