Organization
MELVINDALE PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALI RASHID ELHASAN RPH (PHARMACIST)
(313) 386-0830
Entity
Organization
Contact information
Practice address
18287 ALLEN RD, MELVINDALE, MI 48122-1513
(313) 386-0830
(313) 386-0907
Mailing address
18287 ALLEN RD, MELVINDALE, MI 48122-1513
(313) 386-0830
(313) 386-0907
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
5315011899
MI
3336C0003X
Community/Retail Pharmacy
Primary
5301007596
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2364254
NCPDP
MI
01
—
540H20025
BCBSM DME
MI
05
—
874503661
—
MI
Enumeration date
09/29/2006
Last updated
02/16/2016
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