Organization
GAMALO INC
Active
Other names
Town Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TAHER ALBANEH (CO-OWNER)
(313) 297-6617
Entity
Organization
Contact information
Practice address
6170 W VERNOR HWY, DETROIT, MI 48209-2062
(313) 297-6617
(313) 297-6832
Mailing address
6170 W VERNOR HWY, DETROIT, MI 48209-2062
(313) 297-6617
(313) 297-6832
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
5301009503
MI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2131992
PK
—
Enumeration date
09/15/2011
Last updated
04/01/2016
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