Avicenna Pharmacy LLC

NPI #1942953112 in Hamtramck, Michigan

Provider Information

NPI Number
1942953112
Entity Type
Organization
Organization Name
Avicenna Pharmacy LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jan 28, 2022
Last Updated
Nov 8, 2022

Practice Location

Address
9610 JOSEPH CAMPAU ST
ZIP Code
48212-3440
Phone
(313) 303-7480

Authorized Official

Name
DR. ABATESAM ELMATHIL, PHARM.D
Title
PHARMACIST IN CHARGE
Phone
(313) 986-8150

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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