Organization
BLOOMFIELD RX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAHDI HAIDAR (OWNER)
(248) 706-6748
Entity
Organization
Contact information
Practice address
43750 WOODWARD AVE STE 103, BLOOMFIELD HILLS, MI 48302-5063
(313) 353-9257
(425) 648-6367
Mailing address
43750 WOODWARD AVE STE 103, BLOOMFIELD HILLS, MI 48302-5063
(313) 353-9257
(425) 648-6367
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301011427
MI
Other
Enumeration date
08/13/2018
Last updated
08/01/2019
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