Organization
HERITAGE MEDICAL PHARMACY LLC
Active
Other names
Heritage Medical Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
HASSAN SAAD (OWNER)
(313) 995-4552
Entity
Organization
Contact information
Practice address
14661 TELEGRAPH RD, REDFORD, MI 48239-3300
(313) 681-5441
(313) 681-5464
Mailing address
7651 SCHAEFER RD, DEARBORN, MI 48126-1143
(313) 681-5441
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301011367
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2177047
PK
—
Enumeration date
05/01/2018
Last updated
05/01/2018
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