Organization
AZAAL DISCOUNT PHARMACY INC
Active
Other names
Azaal Discount Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BANDAR SALEH (PHARMACIST/OWNER)
(313) 872-0021
Entity
Organization
Contact information
Practice address
9834 CONANT ST, HAMTRAMCK, MI 48212-3309
(313) 872-0021
(313) 872-0037
Mailing address
9834 CONANT ST, HAMTRAMCK, MI 48212-3309
(313) 872-0021
(313) 872-0037
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301009821
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821354168
—
MI
01
—
2135148
PK
—
Enumeration date
04/11/2012
Last updated
07/13/2016
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