Organization
CLIO ROAD PHARMACY INC
Active
Other names
CLIO ROAD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SELMA DZELIL PHARMD. (VP RDO)
(815) 715-8502
Entity
Organization
Contact information
Practice address
4902 CLIO RD, FLINT, MI 48504-1898
(810) 789-7084
(810) 789-7088
Mailing address
4902 CLIO RD, FLINT, MI 48504-1898
(810) 789-7084
(810) 789-7088
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301007593
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2046181
PK
—
05
—
2364242
—
MI
Enumeration date
06/11/2006
Last updated
09/29/2023
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