Provider Type Icon

EASTSIDE DISCOUNT PHARMACY NPI 1861666448


NPI Information

NPI: 1861666448
Provider Name: EASTSIDE DISCOUNT PHARMACY

Doing Business As: EASTSIDE DISCOUNT PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
14366 GRATIOT AVE
STE 100
DETROIT, MI
ZIP 48205
Phone: (313) 839-2000
Get Directions

EASTSIDE DISCOUNT PHARMACY is a community/retail pharmacy pharmacy in Detroit, MI. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. EASTSIDE DISCOUNT PHARMACY NPI is 1861666448. The provider is registered as an organization entity type.
The provider Is Doing Business As Eastside Discount Pharmacy.

The provider's business location address is:

14366 GRATIOT AVE
STE 100
DETROIT, MI
ZIP 48205-307
Phone: (313) 839-2000
Fax: (313) 839-2003

The provider's authorized official is Mahmond Foudous .
The authorized official title is Pharmacist and has the following contact phone number (313) 433-5578.

The enumeration date for this NPI number is 4/15/2008 and was last updated on 6/17/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail Pharmacy5301008846MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12371021OTHEROTHER ID NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.