Organization
CENTRAL PHARMACY-EAST LLC
Active
Other names
Central Pharmacy-East, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
FADI NUSEIBEH (OWNER,AO)
(313) 574-3434
Entity
Organization
Contact information
Practice address
4248 RICHFIELD RD, FLINT, MI 48506-2012
(810) 744-9101
(810) 744-9151
Mailing address
4248 RICHFIELD RD, FLINT, MI 48506-2012
(810) 744-9101
(810) 744-9151
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902284540
—
MI
01
—
2151933
PK
—
Enumeration date
05/15/2015
Last updated
02/08/2023
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