Organization
MED DRUG PHARMACY INC
Active
Organization
MED DRUG PHARMACY INC
Active
Other names
Med Drug Pharmacy Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MUSTAFA ALSAMARAE (PHARMACIST)
(313) 835-9999
Entity
Organization
Contact information
Practice address
26206 W 12 MILE RD STE 108, SOUTHFIELD, MI 48034-1799
(248) 262-7740
(248) 262-7741
Mailing address
26206 W 12 MILE RD STE 108, SOUTHFIELD, MI 48034-1799
(248) 351-0943
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301009757
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2376108
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/29/2011
Last updated
05/09/2012
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