Organization
CITIZENS PHARMACY INC
Active
Other names
Citizens Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NADA JOUDI (OWNER)
(313) 804-9377
Entity
Organization
Contact information
Practice address
15537 SCHOOLCRAFT ST, DETROIT, MI 48227-1755
(313) 770-7771
(313) 744-7002
Mailing address
15537 SCHOOLCRAFT ST, DETROIT, MI 48227-1755
(313) 770-7771
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301011028
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2164515
PK
—
Enumeration date
10/24/2016
Last updated
03/29/2017
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