Provider Demographics
NPI:1740342229
Name:AMERIDRUGS
Entity type:Organization
Organization Name:AMERIDRUGS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:AL HASCHEMY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-541-3886
Mailing Address - Street 1:25074 W 6 MILE RD
Mailing Address - Street 2:
Mailing Address - City:REDFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48240-2708
Mailing Address - Country:US
Mailing Address - Phone:313-541-3886
Mailing Address - Fax:313-541-3883
Practice Address - Street 1:25074 W 6 MILE RD
Practice Address - Street 2:
Practice Address - City:REDFORD
Practice Address - State:MI
Practice Address - Zip Code:48240-2708
Practice Address - Country:US
Practice Address - Phone:313-541-3886
Practice Address - Fax:313-541-3883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty