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 |