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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