Organization
H & P FOOD TOWN PHARMACY INC
Active
Other names
Value center pharmacy III
Organization subpart
No
Provider details
NPI number
Authorized official
PIERRE BOUTROS (OWNER,AO)
(248) 724-2401
Entity
Organization
Contact information
Practice address
7300 HIGHLAND RD STE A, WATERFORD, MI 48327-1508
(248) 724-2401
(248) 724-2402
Mailing address
PO BOX 543, BIRMINGHAM, MI 48012-0543
(248) 361-6868
(248) 644-5576
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301010711
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2144671
PK
—
Enumeration date
02/26/2014
Last updated
10/10/2016
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