Organization
MED EXPRESS INC
Active
Other names
Heartland Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
YASSER MAISARI PHARM-BS (PHARMACY MANAGER/AUTHORIZED OFFICIA)
(313) 404-5405
Entity
Organization
Contact information
Practice address
43614 GARFIELD RD, CLINTON TOWNSHIP, MI 48038-1120
(586) 228-1551
(586) 228-1552
Mailing address
3800 GREENFIELD RD, PO BOX 1345, DEARBORN, MI 48120-1206
(586) 228-1551
(586) 228-1552
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301009574
MI
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2129481
PK
—
Enumeration date
03/10/2011
Last updated
07/19/2018
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