Organization
RX DRUGS INC
Active
Other names
Pontiac Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HASSAN SHUKR RPH (OWNER/PHARMACIST)
(248) 253-2550
Entity
Organization
Contact information
Practice address
420 W HURON ST, PONTIAC, MI 48341-1425
(248) 253-2550
(248) 253-2554
Mailing address
420 W HURON ST, PONTIAC, MI 48341-1425
(248) 253-2550
(248) 253-2554
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301009311
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2373760
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/23/2010
Last updated
06/04/2010
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