Organization
REDFORD PHARMACY INC
Active
Organization
REDFORD PHARMACY INC
Active
Other names
Redford Pharmacy, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD ETTAHER (OWNER)
(313) 532-8224
Entity
Organization
Contact information
Practice address
17364 LAHSER RD, DETROIT, MI 48219-2348
(313) 532-5920
(313) 532-8224
Mailing address
17364 LAHSER RD, DETROIT, MI 48219-2348
(313) 532-5920
(313) 532-8224
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301009740
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2311239
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
2311239
—
MI
Enumeration date
11/07/2006
Last updated
04/26/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up