A L R PHARMCY INC
25022 W Warren St
Dearborn Heights, MI 48127
313-278-8620
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | MI | 5301003476 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
2536242 | MI | MEDICAID | |
DEA ID NUMBER | AA8714645 | MI | OTHER |
NCPDP ID NUMBER | 2328664 | MI | OTHER |