Provider Demographics
NPI:1336304567
Name:AMINE AND ASSOCIATES GROUP INC
Entity Type:Organization
Organization Name:AMINE AND ASSOCIATES GROUP INC
Other - Org Name:MACK'S DISCOUNT PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ABDULLA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARIFF
Authorized Official - Suffix:
Authorized Official - Credentials:BSC PHARM
Authorized Official - Phone:313-258-6660
Mailing Address - Street 1:20746 MACK AVE
Mailing Address - Street 2:
Mailing Address - City:GROSSE POINTE WOODS
Mailing Address - State:MI
Mailing Address - Zip Code:48236-1436
Mailing Address - Country:US
Mailing Address - Phone:313-640-9766
Mailing Address - Fax:313-640-9768
Practice Address - Street 1:20746 MACK AVE
Practice Address - Street 2:
Practice Address - City:GROSSE POINTE WOODS
Practice Address - State:MI
Practice Address - Zip Code:48236-1436
Practice Address - Country:US
Practice Address - Phone:313-640-9766
Practice Address - Fax:313-640-9768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-28
Last Update Date:2016-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
MI53010088903336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2116603OtherPK