Organization
MOTOR CITY PHARMACY CORP
Active
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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