Organization
GARDEN CITY DISCOUNT PHARMACY LLC
Active
Organization
GARDEN CITY DISCOUNT PHARMACY LLC
Active
Other names
GARDEN CITY DISCOUNT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
NABIL MOUSSA PHARMD (PRESIDENT-PHARMACIST)
(734) 525-3727
Entity
Organization
Contact information
Practice address
6204 MIDDLEBELT RD, GARDEN CITY, MI 48135-2409
(734) 525-3727
(734) 525-3743
Mailing address
6204 MIDDLEBELT RD, GARDEN CITY, MI 48135-2409
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301008789
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2370776
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/01/2008
Last updated
03/27/2009
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