Organization
FLATROCK CITY PHARMACY LLC
Active
Other names
FLATROCK CITY PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MADAN AHEER (PRESIDENT)
(313) 737-4946
Entity
Organization
Contact information
Practice address
25620 GIBRALTAR RD, FLAT ROCK, MI 48134-1243
(734) 789-8950
(734) 789-8956
Mailing address
25620 GIBRALTAR RD, FLAT ROCK, MI 48134-1243
(734) 789-8950
(734) 789-8956
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301009831
MI
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2376843
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/05/2012
Last updated
03/07/2016
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