Organization
SMT INC
Active
Organization
SMT INC
Active
Other names
Fenkell Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RANA NAEEM (PRESIDENT)
(313) 934-7777
Entity
Organization
Contact information
Practice address
10101 FENKELL ST, DETROIT, MI 48238-1645
(313) 935-0210
(313) 935-0793
Mailing address
10101 FENKELL ST, DETROIT, MI 48238-1645
(313) 935-0210
(313) 935-0793
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301009124
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2373099
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/22/2009
Last updated
11/12/2009
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