123 Pharmacy LLC
NPI #1376797746 in Dearborn Heights, Michigan
Provider Information
- NPI Number
- 1376797746
- Entity Type
- Organization
- Organization Name
- 123 Pharmacy LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Nov 11, 2008
- Last Updated
- May 2, 2011
Practice Location
- Address
- 24142 W WARREN ST
- Address 2
- STE A2
- City
- Dearborn Heights
- State
- Michigan
- ZIP Code
- 48127-2256
- Phone
- (313) 730-0677
Authorized Official
- Name
- MUSTAPHA HUSSEIN
- Title
- PRESIDENT
- Phone
- (313) 645-7544
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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