Organization
ST CLAIR PHARMACY LLC
Active
Organization
ST CLAIR PHARMACY LLC
Active
Other names
PHARMOR PHARMACY- ST. CLAIR SHORES
Organization subpart
No
Provider details
NPI number
Authorized official
MURSALA AHMED RPH (OWNER/CHIEF PHARMACIST)
(586) 443-5180
Entity
Organization
Contact information
Practice address
28001 HARPER AVE, SAINT CLAIR SHORES, MI 48081-1561
(586) 443-5180
(586) 443-5185
Mailing address
28001 HARPER AVE, SAINT CLAIR SHORES, MI 48081-1561
(586) 443-5180
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301009373
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2125470
PK
—
Enumeration date
06/22/2010
Last updated
07/09/2015
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