Organization
H&P FOODTOWN PHARMACY, INC
Active
Other names
FOODTOWN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HANY BOUTROS RPH (OWNER)
(734) 856-3113
Entity
Organization
Contact information
Practice address
7375 SECOR RD, LAMBERTVILLE, MI 48144-9737
(734) 856-3113
(734) 854-4936
Mailing address
PO BOX 796, LAMBERTVILLE, MI 48144-0796
(734) 856-3113
(734) 854-4936
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
5301007970
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2366070
NCPDP
MI
05
—
4710934
—
MI
01
—
540E81104
BCBSM DME
MI
Enumeration date
08/29/2006
Last updated
04/16/2009
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