Organization
COUNTY PHARMACY 2 LLC
Active
Other names
County Pharmacy 2
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED A BEYDOUN (OWNER)
(313) 378-1938
Entity
Organization
Contact information
Practice address
233 W CARLETON RD, HILLSDALE, MI 49242-5033
(517) 610-5665
(517) 610-5730
Mailing address
233 W CARLETON RD, HILLSDALE, MI 49242-5033
(517) 610-5665
(517) 610-5730
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
5301009455
MI
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528670791
—
MI
01
—
2127674
PK
—
Enumeration date
11/24/2010
Last updated
03/13/2023
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