Organization
METRO MEDICAL PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NASR MANSOUR (PRESIDENT)
(313) 894-2888
Entity
Organization
Contact information
Practice address
6461 W WARREN AVE STE 200, DETROIT, MI 48210-1176
(313) 894-2888
(313) 894-2868
Mailing address
6461 W WARREN AVE STE 200, DETROIT, MI 48210-1176
(313) 894-2888
(313) 894-2868
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301010896
MI
Other
Enumeration date
07/24/2015
Last updated
06/17/2016
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