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NPI Code Detail

MEDICARE: ASHTON SCHOOLCRAFT PHARMACY

MEDICARE: ASHTON SCHOOLCRAFT PHARMACY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail Pharmacy5301007115MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12360838OTHEROTHER ID NUMBER

General Provider Information

NPI Number : 1417044603
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASHTON SCHOOLCRAFT PHARMACY
Provider Business Mailing Address
First Line : 20720 PLYMOUTH RD
Second Line :
City : DETROIT
State : MI
Zip : 48228-1275
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 20720 PLYMOUTH RD
Second Line :
City : DETROIT
State : MI
Zip : 48228-1275
Country : US
Telephone Number : 313-835-3521
Fax Number : 313-835-7717
Authorized Official
Title or Position : PHARMACIST
Name : HAMZE BEYDOUN
Credential :
Telephone Number : 313-835-3521
Provider Enumeration Date : 10/07/2006
Last Update Date : 06/17/2008

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Directions to “ASHTON SCHOOLCRAFT PHARMACY ” Practice Location

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