Organization
QUEENS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHADI SAAD (OWNER)
(734) 285-2010
Entity
Organization
Contact information
Practice address
15007 EUREKA RD, SOUTHGATE, MI 48195-2609
(734) 285-2010
(734) 285-0393
Mailing address
15007 EUREKA RD, SOUTHGATE, MI 48195-2609
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301008288
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2367868
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/30/2006
Last updated
07/20/2007
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