Organization
RUSSELLS PHARMACY LLC
Active
Organization
RUSSELLS PHARMACY LLC
Active
Other names
Russells Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED A BEYDOUN PHARMD (OWNER)
(313) 378-1938
Entity
Organization
Contact information
Practice address
3011 W GRAND BLVD, SUITE 107, DETROIT, MI 48202-3096
(313) 875-5384
(313) 875-5490
Mailing address
3011 W GRAND BLVD STE 107, DETROIT, MI 48202-3068
(313) 875-5384
(313) 875-5490
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301004374
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2340292
NABP NUMBER
MI
05
—
2340292
—
MI
Enumeration date
08/29/2006
Last updated
10/16/2025
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