Organization
GRISWOLD PHARMACY INC
Active
Other names
GRISWOLD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED ANKOUNI RPH (OWNER AND PHARMACIST)
(313) 237-9000
Entity
Organization
Contact information
Practice address
1411 WASHINGTON BLVD, DETROIT, MI 48226-1745
(313) 237-9000
(313) 237-9961
Mailing address
1411 WASHINGTON BLVD, DETROIT, MI 48226-1745
(313) 237-9000
(313) 237-9961
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301007747
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2046538
PK
—
Enumeration date
06/11/2006
Last updated
03/29/2016
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