Organization
MONROE STREET PHARMACY, INC.
Active
Organization
MONROE STREET PHARMACY, INC.
Active
Other names
Monroe Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLIE HAMOOD RPH. (CHIEF PHARMACIST)
(313) 274-9141
Entity
Organization
Contact information
Practice address
2507 MONROE ST, DEARBORN, MI 48124-3013
(313) 274-9141
(313) 274-9182
Mailing address
2507 MONROE ST, DEARBORN, MI 48124-3013
(313) 274-9141
(313) 274-9182
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
183500000X
MI
3336C0003X
Community/Retail Pharmacy
Primary
5301006022
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2352691
NABP
MI
01
—
540H212390
BCBSM DME
MI
05
—
873459809
—
MI
Enumeration date
07/17/2006
Last updated
02/25/2016
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