Organization
HAMTRAMCK MEDICAL PHARMACY LLC
Active
Organization
HAMTRAMCK MEDICAL PHARMACY LLC
Active
Other names
Pharmor Pharmacy-Hamtramck
Organization subpart
No
Provider details
NPI number
Authorized official
MURSALA AHMED (PIC)
(313) 871-1010
Entity
Organization
Contact information
Practice address
3301 HOLBROOK ST STE B, HAMTRAMCK, MI 48212-3519
(313) 871-1010
(313) 871-1011
Mailing address
3301 HOLBROOK ST, SUITE B, HAMTRAMCK, MI 48212-3519
(313) 871-1010
(313) 871-1011
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301008994
MI
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2117925
PK
—
Enumeration date
11/24/2008
Last updated
11/09/2015
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