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Organization

ASA RX

Active
Other names
New Millennium Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ALIDAH NATHOO RPH (PHARMACIST)
(734) 451-5009
Entity
Organization

Contact information

Practice address
1102 ANN ARBOR RD W, PLYMOUTH, MI 48170-2131
(734) 451-5009
(734) 451-2413
Mailing address
1102 ANN ARBOR RD W, PLYMOUTH, MI 48170-2131
(734) 451-5009
(734) 451-2413

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302032230
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4810241
MI
Enumeration date
11/07/2006
Last updated
07/09/2008
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