Organization
CONANT PLAZA PHARMACY LLC
Active
Other names
CONANT PLAZA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMIR A BERRI RPH (MANAGER)
(313) 366-1221
Entity
Organization
Contact information
Practice address
3611 CARPENTER ST, SUITE #3, DETROIT, MI 48212-2784
(313) 366-1221
(313) 366-2947
Mailing address
3611 CARPENTER ST, SUITE #3, DETROIT, MI 48212-2784
(313) 366-1221
(313) 366-2947
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301007843
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2365600
—
MI
Enumeration date
01/20/2007
Last updated
10/09/2013
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