Organization
DESH PHARMACY LLC
Active
Organization
DESH PHARMACY LLC
Active
Other names
DESH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD SIDDIQUE (MANAGING DIRECTOR)
(313) 366-3800
Entity
Organization
Contact information
Practice address
12170 CONANT ST, STE E, DETROIT, MI 48212-4137
(313) 366-3800
(313) 366-5590
Mailing address
12170 CONANT ST, STE E, DETROIT, MI 48212-4137
(313) 366-3800
(313) 366-5590
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301008887
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2043818
PK
—
Enumeration date
07/08/2008
Last updated
11/29/2016
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