Organization
MIINFA INC.
Active
Other names
Smart Choice Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MUFUTAU ADEGUNLOLA PHARMACIST (PHARMACY MANAGER)
(313) 491-7450
Entity
Organization
Contact information
Practice address
14379 LIVERNOIS AVE, DETROIT, MI 48238-2507
(313) 491-7450
(313) 491-7451
Mailing address
14379 LIVERNOIS AVE, DETROIT, MI 48238-2507
(313) 491-7450
(313) 491-7451
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
5301009873
MI
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/24/2012
Last updated
01/27/2016
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