Organization
LITTLE MACK PHARMACY LLC
Active
Other names
ADS - Roseville
Organization subpart
No
Provider details
NPI number
Authorized official
ABBAS MANSOUR (OWNER)
(586) 981-0958
Entity
Organization
Contact information
Practice address
30695 LITTLE MACK AVE STE 100, ROSEVILLE, MI 48066-1781
(586) 981-0958
(586) 981-0956
Mailing address
13700 E 12 MILE RD # 104, WARREN, MI 48088-3751
(586) 981-0958
(586) 981-0956
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/09/2025
Last updated
02/09/2026
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