Organization
MEDSMART PHARMACY LLC
Active
Other names
MEDSMART PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
EMAD SALEH (MANAGING DIRECTOR)
(313) 414-7170
Entity
Organization
Contact information
Practice address
27101 SCHOENHERR RD STE 100, WARREN, MI 48088-4730
(586) 298-6796
Mailing address
27101 SCHOENHERR RD, SUITE 100, WARREN, MI 48088-4730
(586) 298-6796
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301009782
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2376627
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/13/2012
Last updated
04/13/2012
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