Organization
SOUTHEAST MICHIGAN SURGICAL HOSPITAL, LLC
Active
Other names
Insight Outpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD NADIR IJAZ (COO)
(810) 275-9371
Entity
Organization
Contact information
Practice address
21230 DEQUINDRE RD, WARREN, MI 48091-2279
(810) 275-9333
Mailing address
21230 DEQUINDRE RD, WARREN, MI 48091-2279
(810) 275-9333
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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