Organization
OM-SAI INC
Active
Other names
FLUSHING DISCOUNT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ASHESH MODI RPH (OWNER/PIC)
(810) 487-9361
Entity
Organization
Contact information
Practice address
6390 W PIERSON RD, FLUSHING, MI 48433-2300
(810) 487-9361
(810) 487-9362
Mailing address
6390 W PIERSON RD, FLUSHING, MI 48433-2300
(810) 487-9361
(810) 487-9362
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301010120
MI
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043658016
—
MI
01
—
2140508
PK
—
Enumeration date
06/12/2013
Last updated
03/30/2016
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