Organization
WOODWARD PLACE PHARMACY LLC
Active
Other names
Pharmor Pharmacy-Woodward Place
Organization subpart
No
Provider details
NPI number
Authorized official
SAMMI OMAR R.PH. (CO-OWNER)
(313) 957-0099
Entity
Organization
Contact information
Practice address
15131 WOODWARD AVE, HIGHLAND PARK, MI 48203-2907
(313) 957-0099
(313) 957-0032
Mailing address
15131 WOODWARD AVE, HIGHLAND PARK, MI 48203
(313) 957-0099
(313) 957-0032
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301009102
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2120019
PK
—
Enumeration date
04/28/2009
Last updated
07/19/2018
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