Organization
GRISWOLD PHARMACY INC
Active
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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