Gratiot Drug Store Inc in Detroit - Community/retail Pharmacy

Gratiot Drug Store Inc - NPI 1457424657

Gratiot Drug Store Inc is a Community/retail Pharmacy in Detroit, Michigan. Gratiot Drug Store Inc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Gratiot Drug Store Inc is 1457424657. The last update date is 2007-11-07.

Gratiot Drug Store Inc's current location address is 3745 Gratiot Ave, Detroit, Michigan. You can contact this provider via phone number 3135792643 and fax number 3135792636. The mailing address for Gratiot Drug Store Inc is 3745 Gratiot Ave, Detroit, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Gratiot Drug Store Inc
Address 3745 Gratiot Ave, Detroit, Michigan
Phone Number 3135792643
Fax Number 3135792636
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Nasser Ali
Credentials RPH
Telephone Number 3139994748

NPI Number Detail

NPI Number 1457424657
Provider Enumeration Date 2006-11-16
Last Updated Date 2007-11-07

Provider Mailing Address Detail

Address 3745 Gratiot Ave
City Detroit
State Michigan (MI)
Post Code 482071867
Phone Number 3135792643
Fax Number 3135792636

Provider's Primary Taxonomy Detail

Speciality Community/retail Pharmacy
Taxonomy 3336C0003X
Licence No 5301008550
Definition:
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2369191 OTHER ID NUMBER
2369191 OTHER ID NUMBER-COMMERCIAL NUM

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FAQs about Gratiot Drug Store Inc

What is the unique identification code assigned to Gratiot Drug Store Inc by the Centers for Medicare & Medicaid Services?

The Gratiot Drug Store Inc has been issued the NPI (National Provider Identifier) 1457424657. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Gratiot Drug Store Inc?

The Gratiot Drug Store Inc is situated at 3745 Gratiot Ave, in the city of Detroit, state of MI, with the zip code 482071867.

What is the Gratiot Drug Store Inc's specialty and taxonomy code?

The Gratiot Drug Store Inc's specialty is Community/retail Pharmacy, and the corresponding taxonomy code is 3336C0003X.

On what date did the Centers for Medicare & Medicaid Services issue the 1457424657 to Gratiot Drug Store Inc?

The Gratiot Drug Store Inc received its 1457424657 assignment from the Centers for Medicare & Medicaid Services on 2006-11-16.

When was the information related to Gratiot Drug Store Inc most recently updated or refreshed?

The details pertaining to the Gratiot Drug Store Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-11-07.

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