Organization Name: | AMERIDRUGS |
NPI Number: | 1740342229 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALI AL HASCHEMY (CEO) |
Mailing Address: | 25074 W 6 Mile Rd Redford |
State: | MI US |
Postal Code: | 482402708 |
Phone Number: | 3135413886 |
Fax Number: | 3135413883 |
NPI Enumeration Date: | 12/14/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |