Organization
SPRINGWELLS CLINICAL PHARMACY INC
Active
Parent organization
SPRINGWELLS CLINICAL PHARMACY INC
Other names
Southwest Discount Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPRINGWELLS CLINICAL PHARMACY INC
Authorized official
ADEL DAKHLALLAH RPH (OWNER)
(313) 841-9350
Entity
Organization
Contact information
Practice address
5851 W VERNOR HWY, DETROIT, MI 48209-2159
(313) 841-9350
(313) 841-9377
Mailing address
5851 W VERNOR HWY, DETROIT, MI 48209-2159
(313) 841-9350
(313) 841-9377
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
5301008142
MI
3336C0003X
Community/Retail Pharmacy
Primary
5301008142
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NCPDP
2367173
MI
Enumeration date
02/28/2007
Last updated
12/01/2015
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