Organization
HARI OHM PHARMACY INC
Active
Other names
KRAUZERS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
HUMAIRA BANU (PHARMACIST)
(313) 366-4600
Entity
Organization
Contact information
Practice address
19953 CONANT ST, DETROIT, MI 48234-1334
(313) 366-4600
(313) 366-4601
Mailing address
19953 CONANT ST, DETROIT, MI 48234-1334
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301008741
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2370473
OTHER ID NUMBER
—
Enumeration date
11/14/2007
Last updated
02/29/2008
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