Organization
ROSEDALE COMMUNITY PHARMACY INC
Active
Organization
ROSEDALE COMMUNITY PHARMACY INC
Active
Other names
ROSEDALE COMMUNITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ZAINAB JAAFAR (PRESIDENT)
(734) 262-4600
Entity
Organization
Contact information
Practice address
19220 GRAND RIVER AVE, DETROIT, MI 48223-1707
(313) 531-0100
(313) 531-0101
Mailing address
PO BOX 532258, LIVONIA, MI 48153-2258
(313) 531-0100
(313) 531-0101
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301009296
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699007542
—
MI
01
—
2123723
PK
—
Enumeration date
02/03/2010
Last updated
11/18/2014
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