Organization
NEW MO-TOWN PHARMACY INC
Active
Other names
Mo-Town Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SAMMY SALEM PHARMD (PRESIDENT)
(313) 999-9499
Entity
Organization
Contact information
Practice address
20333 CONANT ST, DETROIT, MI 48234-1228
(313) 891-2253
(313) 891-2251
Mailing address
20333 CONANT ST, DETROIT, MI 48234-1228
(313) 891-2253
(313) 891-2251
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2044863
PK
—
Enumeration date
06/08/2006
Last updated
09/13/2024
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