Provider Demographics
NPI:1497185664
Name:TRU-AID PHARMACY INC
Entity Type:Organization
Organization Name:TRU-AID PHARMACY INC
Other - Org Name:TRU-AID PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACISTS
Authorized Official - Prefix:
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:
Authorized Official - Last Name:ELHASAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-574-7769
Mailing Address - Street 1:5711 SCHAEFER RD
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-2252
Mailing Address - Country:US
Mailing Address - Phone:313-584-7182
Mailing Address - Fax:313-584-7182
Practice Address - Street 1:5711 SCHAEFER RD
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-2252
Practice Address - Country:US
Practice Address - Phone:313-584-7182
Practice Address - Fax:313-584-7182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-25
Last Update Date:2013-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2143260OtherPK