Organization
JAN'S DISCOUNT PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER GERARD ROOS R.PH. (PRESIDENT)
(313) 843-8770
Entity
Organization
Contact information
Practice address
1700 JUNCTION ST, DETROIT, MI 48209-2110
(313) 843-8770
Mailing address
1700 JUNCTION ST, DETROIT, MI 48209-2110
(313) 843-8770
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5301007018
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4108595
—
MI
Enumeration date
02/21/2008
Last updated
02/21/2008
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