Organization
GRAND GRATIOT PHARMACY, LLC
Active
Organization
GRAND GRATIOT PHARMACY, LLC
Active
Other names
PharMor Pharmacy-Grand Gratiot
Organization subpart
No
Provider details
NPI number
Authorized official
RIYESAH A SAHOUBAH (OWNER)
(248) 663-3380
Entity
Organization
Contact information
Practice address
7011 GRATIOT AVE STE 100, DETROIT, MI 48207-1973
(248) 663-3380
Mailing address
7011 GRATIOT AVE STE 100, DETROIT, MI 48207-1973
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/31/2020
Last updated
10/31/2020
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