Organization
JAN'S DISCOUNT PHARMACY III
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER GERARD ROOS R.PH. (PRESIDENT)
(313) 842-9660
Entity
Organization
Contact information
Practice address
1700 WATERMAN ST, DETROIT, MI 48209-2022
(313) 842-9660
(313) 842-9662
Mailing address
1700 WATERMAN ST, DETROIT, MI 48209-2022
(313) 842-9660
(313) 842-9662
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5301008556
MI
Other
Enumeration date
02/25/2008
Last updated
09/01/2010
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