Organization
SUPER MART PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HASSAN ABDALLAH R.PH (PHARMACIST)
(586) 662-0050
Entity
Organization
Contact information
Practice address
12230 E 8 MILE RD, DETROIT, MI 48205-1048
(313) 371-7865
Mailing address
12230 E 8 MILE RD, DETROIT, MI 48205-1048
(313) 371-7865
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/10/2008
Last updated
11/10/2008
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