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Organization

EKELEDO DISCOUNT PHARMACY

Active
Other names
ekeledo discount pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
IROHAM EKELEDO (OWNER)
(313) 659-2200
Entity
Organization

Contact information

Practice address
17256 W 7 MILE RD, DETROIT, MI 48235-3025
(313) 659-2200
Mailing address
17256 W 7 MILE RD, DETROIT, MI 48235-3025
(313) 659-2200

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301009352
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2374089
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
06/03/2010
Last updated
06/03/2010
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