Organization
SAMARITRAN PHARMACY PC
Active
Other names
SAMARITRAN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ABBAS BAYDOUN (PIC)
(313) 922-8920
Entity
Organization
Contact information
Practice address
5575 CONNER ST, 1A PAVILION, DETROIT, MI 48213-6400
(313) 922-8920
(313) 922-8923
Mailing address
5575 CONNER ST, 1A PAVILION, DETROIT, MI 48213-6400
(313) 922-8920
(313) 922-8923
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301008807
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2043633
PK
—
Enumeration date
03/18/2008
Last updated
11/05/2014
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