NPI 1073099701

Fort St Rx Pharmacy LLC

Organisation Community/Retail Pharmacy Lincoln Park, MI

Practice location

Address: 2017 Fort St, Lincoln Park, MI 48146-2402
Phone: (313) 702-0066

Authorised official

Name: Sobhi Mike Neme
Title: Owner
Phone: (313) 702-0066

Registered specialties

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 5301011416 (MI)

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Registry record

NPI: 1073099701
Entity type: Organization
NPI issued: 16 Jul 2018
Record last updated: 16 Jul 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.