Organization
KELLY MORANG PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NASSER MOZEP PHARMD (OWNER)
(313) 526-1200
Entity
Organization
Contact information
Practice address
18085 KELLY RD, DETROIT, MI 48224-1565
(313) 526-1200
(313) 526-1201
Mailing address
18085 KELLY RD, DETROIT, MI 48224-1565
(313) 526-1200
(313) 526-1201
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/10/2014
Last updated
08/04/2015
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