Organization
NEW METRO PHARMACY
Active
Other names
New Metro Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AHMAD RKEIN (RPH)
(480) 334-6600
Entity
Organization
Contact information
Practice address
17932 CONANT ST, DETROIT, MI 48212-1140
(313) 826-1812
(313) 826-1823
Mailing address
17932 CONANT ST, DETROIT, MI 48212-1140
(313) 826-1812
(313) 826-1823
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301009788
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2376716
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/30/2012
Last updated
04/30/2012
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