Organization
MACK-MOROSS PHARMACY LLC
Active
Other names
Remedy RX
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NASSER MOZEP PHARMD (CHIEF PHARMACIST)
(313) 642-1800
Entity
Organization
Contact information
Practice address
22341 MOROSS RD STE R-113, DETROIT, MI 48236-2116
(313) 642-1800
(313) 642-1802
Mailing address
22341 MOROSS RD STE R-113, DETROIT, MI 48236-2116
(313) 642-1800
(313) 642-1802
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301009327
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2373784
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/31/2010
Last updated
06/18/2020
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