Livernois Pharmacy INC

NPI #1982747200 in Detroit, Michigan

Provider Information

NPI Number: 1982747200
Entity Type: Organization
Organization Name: Livernois Pharmacy INC
Primary Specialty: Pharmacist
Enumeration Date: Feb 15, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 6240 MICHIGAN AVE
City: Detroit
State: Michigan
ZIP Code: 48210-2953
Phone: (313) 361-6100

Authorized Official

Name: ELGHOUL MOSTAPHA
Title: PHARMACIST
Phone: (313) 361-6100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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