Organization
VINCENTS RX LLC
Active
Other names
Vincents Rx LLC
Organization subpart
No
Provider details
NPI number
Authorized official
NILUPA RAHMAN (COMPLIANCE OFFICER)
(313) 353-9257
Entity
Organization
Contact information
Practice address
29619 HARPER AVE, SAINT CLAIR SHORES, MI 48082-1640
(313) 353-9257
(616) 333-7674
Mailing address
29619 HARPER AVE, SAINT CLAIR SHORES, MI 48082-1640
(313) 353-9257
(616) 333-7674
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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