Gratiot Drug Store Inc

NPI 1457424657 - Pharmacy - 3336C0003X

NPI Details
NPI 1457424657
Enumeration Date 11/16/2006
Last Updated 11/07/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ALI ALI
Position PRESIDENT
Phone (313) 579-2643
Fax (313) 579-2636
Practice Location
3745 GRATIOT AVE
DETROIT MI, 48207-1867, US
Phone (313) 579-2643
Fax (313) 579-2636
Business Location
3745 GRATIOT AVE
DETROIT MI, 48207-1867, US
Phone
Fax
Toxanomy
Taxonomy Code 3336C0003X
License State Michigan
License Number 5301008550
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According to our database, Gratiot Drug Store Inc NPI is 1457424657, taxonomy code is 3336C0003X and license number is 5301008550, license state is located at Michigan. Gratiot Drug Store Inc physically located at 3745 Gratiot Ave, Detroit MI, 48207-1867. NPI Number 1033115704 has the healthcare provider type.

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1457424657 NPI number is provided on an as is basis without warranty of any kind. 1457424657 is maintained by the National Plan & Provider Enumeration System. The contents of Gratiot Drug Store Inc are for informational purposes only.