Organization
ALKAMANO INC
Active
Other names
NOOR PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
IHSAN ALKAMANO B.S PHARMACY (PRESIDENT/PIC)
(586) 268-3900
Entity
Organization
Contact information
Practice address
4092 E 14 MILE RD, STE 200, WARREN, MI 48092-4376
(586) 268-3900
(586) 268-0500
Mailing address
4092 E 14 MILE RD, STE 200, WARREN, MI 48092-4376
(586) 268-3900
(586) 268-0500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301007175
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2044662
PK
—
05
—
2361020
—
MI
Enumeration date
08/27/2006
Last updated
07/13/2016
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