Organization · NPI-2

Citizens Pharmacy INC

Health Maintenance Organization · Detroit, MI

NPI number1215488689
StatusActive
Last updated in NPPESOct 20, 2016

Details

NPI
1215488689
Entity type
Organization (NPI-2)
Legal business name
Citizens Pharmacy INC
Organization subpart
No
Enumeration date
Oct 20, 2016
Last updated
Oct 20, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
302R00000X Health Maintenance Organization5301011028MIYes

Other names

  • Citizens Pharmacy (Doing Business As)

Practice location

15537 Schoolcraft St
Detroit, MI 48227-1755

Phone 313-770-7771

Mailing address

15537 Schoolcraft St
Detroit, MI 48227-1755

Phone 313-770-7771

Authorized official

Nada Joudi
Pharmacist
3138556500

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