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Organization

LAPLAZA PHARMACY INC

Active
Other names
LAPLAZA PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
WISSAM BEYDONN (OWNER)
(313) 843-2591
Entity
Organization

Contact information

Practice address
4639 W VERNOR HWY, DETROIT, MI 48209-2117
(313) 843-2591
(313) 843-3363
Mailing address
4639 W VERNOR HWY, DETROIT, MI 48209-2117

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
5315018606
MI
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2366082
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
06/08/2006
Last updated
09/11/2025
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