Organization
GRATIOT NEW PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMAD HAMADE PHARM D (OWNER)
(313) 258-1102
Entity
Organization
Contact information
Practice address
3737 GRATIOT AVE, DETROIT, MI 48207-1867
(313) 258-1102
Mailing address
3737 GRATIOT AVE, DETROIT, MI 48207-1867
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
5301009678
MI
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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