Organization
GRAND BLANC COMMUNITY PHARMACY LLC
Active
Other names
Grand Blanc Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED ZAKI (CEO)
(810) 720-2990
Entity
Organization
Contact information
Practice address
12741 S SAGINAW ST STE 802, GRAND BLANC, MI 48439-2460
(810) 953-0710
(810) 953-0715
Mailing address
1230 S LINDEN RD, FLINT, MI 48532-3459
(810) 720-2990
(810) 720-2993
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301010002
MI
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2138866
PK
—
Enumeration date
07/17/2012
Last updated
04/30/2013
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