Organization
MILLER ROAD PHARMACY
Active
Organization
MILLER ROAD PHARMACY
Active
Other names
MEDPHARM LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABUSUFIAN ELTAIB ELTAHIR PHARMD (PHARMACY MANAGER)
(810) 228-3304
Entity
Organization
Contact information
Practice address
5097 MILLER RD, FLINT, MI 48507-1043
(810) 228-3304
(810) 228-3307
Mailing address
5097 MILLER RD, FLINT, MI 48507-1043
(810) 228-3304
(810) 228-3307
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301010651
MI
3336L0003X
Long Term Care Pharmacy
5301010651
MI
3336S0011X
Specialty Pharmacy
5301010651
MI
Other
Enumeration date
03/31/2015
Last updated
04/30/2015
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