Russells Pharmacy Llc is an authorized DME supplier for medicare equipments and products.
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 Mr. Mohamed Ali Beydoun, PHARMD who is Owner of the pharmacy and his contact number is 313-875-5385. 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:
Mr. Mohamed Ali Beydoun
Credentials:
PHARMD
Position:
Owner
Contact Number:
313-875-5385
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:
11 Sep, 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.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
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