Organization
MA HOME LLC
Active
Organization
MA HOME LLC
Active
Other names
NEW SAMARITAN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
AHMAD SAYED PHARMD (OWNER)
(313) 571-3095
Entity
Organization
Contact information
Practice address
5575 CONNER ST STE 103, DETROIT, MI 48213-6400
(313) 571-3095
(313) 571-3942
Mailing address
5575 CONNER ST STE 103, DETROIT, MI 48213-6400
(313) 571-3095
(313) 571-3942
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301010645
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2150754
PK
—
05
—
7113359
—
MI
Enumeration date
02/05/2014
Last updated
08/26/2019
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