Organization
CORNER PHARMACY
Active
Other names
the corner pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TAREK JAWARD (OWNER)
(313) 674-9800
Entity
Organization
Contact information
Practice address
15525 W WARREN AVE, DETROIT, MI 48228-3731
(313) 584-3377
(313) 584-8336
Mailing address
15525 W WARREN AVE, DETROIT, MI 48228-3731
(313) 584-3377
(313) 584-8336
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301007256
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2144296
PK
—
Enumeration date
01/27/2014
Last updated
02/20/2014
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