Organization
CLINTON MEDICAL PHARMACY
Active
Organization
CLINTON MEDICAL PHARMACY
Active
Other names
mgt investments enterprises llc
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER SMITH (CEO)
(586) 228-7601
Entity
Organization
Contact information
Practice address
43475 DALCOMA DR, SUITE 110, CLINTON TOWNSHIP, MI 48038-3591
(586) 228-7601
(586) 228-7605
Mailing address
43475 DALCOMA DR, SUITE 110, CLINTON TOWNSHIP, MI 48038-3591
(586) 228-7601
(586) 228-7605
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301008045
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B7957R
—
MI
Enumeration date
05/08/2006
Last updated
08/22/2020
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