123 Pharmacy Llc

NPI 1376797746 - Pharmacy - 3336C0003X

NPI Details
NPI 1376797746
Enumeration Date 11/11/2008
Last Updated 05/02/2011
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name MUSTAPHA MUSTAPHA
Position PRESIDENT
Phone (313) 730-0677
Fax (313) 730-0670
Practice Location
24142 W WARREN ST
STE A2
DEARBORN HEIGHTS MI, 48127-2256, US
Phone (313) 730-0677
Fax (313) 730-0670
Business Location
24142 W WARREN ST
STE A2
DEARBORN HEIGHTS MI, 48127-2256, US
Phone (313) 730-0677
Fax (313) 730-0670
Toxanomy
Taxonomy Code 3336C0003X
License State Michigan
License Number 5315038557
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According to our database, 123 Pharmacy Llc NPI is 1376797746, taxonomy code is 3336C0003X and license number is 5315038557, license state is located at Michigan. 123 Pharmacy Llc physically located at 24142 W Warren St, Dearborn Heights MI, 48127-2256. NPI Number 1033115704 has the healthcare provider type.

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1376797746 NPI number is provided on an as is basis without warranty of any kind. 1376797746 is maintained by the National Plan & Provider Enumeration System. The contents of 123 Pharmacy Llc are for informational purposes only.