Provider Demographics
NPI:1265778385
Name:RX DISCOUNT PHARMACY
Entity type:Organization
Organization Name:RX DISCOUNT PHARMACY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HAROUN
Authorized Official - Middle Name:FAWZI
Authorized Official - Last Name:ODEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-443-0948
Mailing Address - Street 1:6811 ALLEN RD
Mailing Address - Street 2:
Mailing Address - City:ALLEN PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48101
Mailing Address - Country:US
Mailing Address - Phone:313-523-6789
Mailing Address - Fax:
Practice Address - Street 1:6811 ALLEN RD
Practice Address - Street 2:
Practice Address - City:ALLEN PARK
Practice Address - State:MI
Practice Address - Zip Code:48101
Practice Address - Country:US
Practice Address - Phone:313-928-2225
Practice Address - Fax:313-928-2225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-18
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy