Organization
MOTOR CITY PHARMACY CORP
Active
Other names
MOTOR CITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUZAN BERRY FADLALLAH RPH (PRESIDENT/PHARMACIST)
(313) 838-2555
Entity
Organization
Contact information
Practice address
20526 PLYMOUTH RD, SUITE D, DETROIT, MI 48228-1201
(313) 838-2555
(313) 838-1320
Mailing address
20526 PLYMOUTH RD, SUITE D, DETROIT, MI 48228-1201
(313) 838-2555
(313) 838-1320
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301005113
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1981639
—
MI
Enumeration date
03/27/2008
Last updated
09/11/2015
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