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Organization

ANATA LLC

Active
Other names
Watson Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MAHMOUD RIFAI RPH (OWNER/PIC)
(937) 389-0000
Entity
Organization

Contact information

Practice address
9731 HARPER AVE, DETROIT, MI 48213-2700
(313) 922-2900
(313) 922-2901
Mailing address
9731 HARPER AVE, DETROIT, MI 48213-2700
(313) 922-2900
(313) 922-2901

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
5301010529
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2147511
PK
Enumeration date
08/25/2014
Last updated
02/20/2017
About Stedi
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