Organization
GRAND RIVER RX LLC
Active
Organization
GRAND RIVER RX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TANVEER HUSSAIN (PRESIDENT)
(586) 822-0336
Entity
Organization
Contact information
Practice address
20270 GRAND RIVER AVE, DETROIT, MI 48219-3341
(586) 822-0336
Mailing address
20270 GRAND RIVER AVE, DETROIT, MI 48219-3341
(586) 822-0336
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301011421
MI
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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