Organization
ROSA PARK MEDICAL PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED SAID PHARMD (PHARMACIST)
(313) 377-8876
Entity
Organization
Contact information
Practice address
8665 ROSA PARKS BOULAVARD, DETROIT, MI 48206
(313) 361-8800
(313) 361-8875
Mailing address
8665 ROSA PARKS BOULAVARD, DETROIT, MI 48206
(313) 361-8800
(313) 361-8875
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301008435
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164437992
—
MI
01
—
2042324
PK
—
Enumeration date
07/30/2006
Last updated
04/19/2018
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