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Organization

MELVINDALE PHARMACY INC.

Active
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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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