| NPI | 1861666448 |
|---|---|
| Doing Business As | EASTSIDE DISCOUNT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MAHMOND FOUDOUS Pharmacist 313-433-5578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301008846) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-06-17 |