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NPI Code Detail

MEDICARE: MI PHARMACY SERVICES

MEDICARE: MI PHARMACY SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail Pharmacy

General Provider Information

NPI Number : 1407271364
Entity Type Code : Organization
Provider Name (Legal Business Name) : MI PHARMACY SERVICES
Provider Business Mailing Address
First Line : 8005 E JEFFERSON AVE
Second Line :
City : DETROIT
State : MI
Zip : 48214-2627
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8005 E JEFFERSON AVE
Second Line :
City : DETROIT
State : MI
Zip : 48214-2627
Country : US
Telephone Number : 248-802-0248
Fax Number :
Authorized Official
Title or Position : OWNER / PHARMACIST
Name : DR. ABDALLAH KHASHAB
Credential :
Telephone Number : 248-802-0248
Provider Enumeration Date : 02/28/2014
Last Update Date : 05/15/2014

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Directions to “MI PHARMACY SERVICES ” Practice Location

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