Organization
LAPEER RX LLC
Active
Other names
Lapeer Rd Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ISAM TAHBOUB (OWNER)
(810) 715-0996
Entity
Organization
Contact information
Practice address
3441 LAPEER RD, FLINT, MI 48503-4482
(810) 715-0996
(810) 396-6575
Mailing address
3441 LAPEER RD, FLINT, MI 48503-4482
(810) 715-0996
(810) 396-6575
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301010959
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160503
PK
—
Enumeration date
06/03/2016
Last updated
03/31/2017
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