Organization
FAMILY DRUG PHARMACY V INC
Active
Other names
Family Drug Pharmacy V INC
Organization subpart
No
Provider details
NPI number
Authorized official
MERSEDEH MOSHFEGHI (PHARMACIST)
(313) 531-9200
Entity
Organization
Contact information
Practice address
25241 GRAND RIVER AVE, REDFORD, MI 48240-1404
(313) 531-9200
(313) 531-3511
Mailing address
18320 HEATHERLEA DR, LIVONIA, MI 48152-4085
(734) 469-9600
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301010126
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2142271
PK
—
Enumeration date
10/07/2006
Last updated
11/19/2013
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