Organization
MEDSTOP PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASHEER ALTAIRI (OWNER)
(313) 929-7667
Entity
Organization
Contact information
Practice address
10041 FENKELL ST, DETROIT, MI 48238-1643
(313) 933-0630
(313) 933-0632
Mailing address
10041 FENKELL ST, DETROIT, MI 48238-1643
(313) 933-0630
(313) 933-0632
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/13/2015
Last updated
11/09/2015
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