Organization
A AND R PHARMACY LLC
Active
Other names
Tony's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ALY RESTUM RPH (OWNER/PHARMACIST)
(313) 272-3744
Entity
Organization
Contact information
Practice address
18360 FENKELL ST, DETROIT, MI 48223-2314
(313) 272-3744
(313) 272-3766
Mailing address
18360 FENKELL ST, DETROIT, MI 48223-2314
(313) 272-3744
(313) 272-3766
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301009754
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2133769
PK
—
Enumeration date
01/04/2012
Last updated
03/20/2017
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