Organization
WESTSIDE DISCOUNT PHARMACY
Active
Other names
WESTSIDE DISCOUNT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MUNIF MAWRI (OWNER)
(313) 414-4044
Entity
Organization
Contact information
Practice address
18606 FENKELL ST, DETROIT, MI 48223-2315
(313) 273-8800
(313) 273-8809
Mailing address
18606 FENKELL ST, DETROIT, MI 48223-2315
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301008823
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2370865
OTHER ID NUMBER
—
Enumeration date
03/07/2008
Last updated
04/29/2008
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