Organization
GMC PHARMACY LLC
Active
Organization
GMC PHARMACY LLC
Active
Other names
MED EXPRESS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
YASSER MAISARI LLC (OWNER)
(586) 213-5659
Entity
Organization
Contact information
Practice address
43614 GARFIELD RD STE B, CLINTON TOWNSHIP, MI 48038-1120
(586) 213-5659
(586) 213-5695
Mailing address
43614 GARFIELD RD STE B, CLINTON TOWNSHIP, MI 48038-1120
(586) 213-5659
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301011173
MI
3336L0003X
Long Term Care Pharmacy
5301011173
MI
Other
Enumeration date
06/15/2017
Last updated
09/24/2019
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