Organization
RIGLEY'S DRUG STORE LLC
Active
Other names
RIGLEY'S DRUG STORE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
HUSSEIN HUSSEIN (PHARMD/MEMBER)
(313) 924-5163
Entity
Organization
Contact information
Practice address
12266 GRATIOT AVE, DETROIT, MI 48205-3904
(313) 924-5163
Mailing address
12266 GRATIOT AVE, DETROIT, MI 48205
(313) 924-5163
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301009307
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2373859
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/12/2010
Last updated
05/17/2011
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