Russells Pharmacy Llc
Community/Retail Pharmacy
3011 W Grand Blvd, Suite 107, Detroit
Michigan, 48202-3096
313-875-5384 313-875-5490
Russells Pharmacy Llc is a Community/Retail Pharmacy in Detroit, Michigan. It is located at 3011 W Grand Blvd, Suite 107, Detroit and it's customer support contact number is 313-875-5384. The authorized person of Russells Pharmacy Llc is Mohamed A Beydoun, PHARMD who is Owner of the pharmacy and his contact number is 313-378-1938. Active license number of Russells Pharmacy Llc is 5301004374 for Community/Retail Pharmacy in Michigan. Russells Pharmacy Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Russells Pharmacy Llc 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.
Pharmacy Details:
Russells Pharmacy Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Russells Pharmacy Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 3011 W Grand Blvd, Suite 107, Detroit,
Michigan, 48202-3096 |
| Phone: | 313-875-5384 |
| Fax: | 313-875-5490 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mohamed A Beydoun |
| Credentials: | PHARMD |
| Position: | Owner |
| Contact Number: | 313-378-1938 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1801905476 |
| NPI Enumeration Date: | 29 Aug, 2006 |
| NPI Last Update On: | 16 Oct, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Russells Pharmacy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 5301004374 | Michigan | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2340292 | Medicaid | Michigan | |
| 2340292 | Other | Michigan | Nabp Number |
Medicare Enrollment:
Russells Pharmacy Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 1456564418 | O20100930091723 | Russell's Fisher Pharmacy, Inc. | DME SUPPLIER - PHARMACY |
Products Available:
Russells Pharmacy Llc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3011 W Grand Blvd Ste 107,
Detroit, Michigan |
| Zip: | 48202-3068 |
| Phone Number: | 313-875-5384 |
| Fax Number: | 313-875-5490 |
Patients can reach Russells Pharmacy Llc at
3011 W Grand Blvd, Suite 107, Detroit, Michigan or can
call on customer care at 313-875-5384.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.