Organization
MIDTOWN DISCOUNT PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI FARDOUS (PHRAMACIST)
(313) 273-8800
Entity
Organization
Contact information
Practice address
13800 LIVERNOIS AVE, DETROIT, MI 48238-4510
(313) 273-8800
(313) 273-8809
Mailing address
13800 LIVERNOIS AVE, DETROIT, MI 48238-4510
(313) 273-8800
(313) 273-8809
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301008934
MI
Other
Enumeration date
09/12/2008
Last updated
09/12/2008
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