Organization
HEALTH MTM INC
Active
Organization
HEALTH MTM INC
Active
Other names
Caniff Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ZAHIDA CHOUDHURY (PRESIDENT)
(313) 409-9342
Entity
Organization
Contact information
Practice address
3004 CANIFF ST, HAMTRAMCK, MI 48212-3019
(313) 285-9063
(313) 285-9144
Mailing address
3004 CANIFF ST, HAMTRAMCK, MI 48212-3019
(313) 285-9063
(313) 285-9144
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301009526
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2129385
PK
—
Enumeration date
03/05/2011
Last updated
11/22/2013
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