Healthcare Provider Details

I. General information

NPI: 1275449894
Provider Name (Legal Business Name): SIGNATURE PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2026
Last Update Date: 08/22/2026
Certification Date: 08/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8657 GREENFIELD RD STE 3
DETROIT MI
48228-2224
US

IV. Provider business mailing address

8657 GREENFIELD RD STE 3
DETROIT MI
48228-2224
US

V. Phone/Fax

Practice location:
  • Phone: 313-644-4403
  • Fax:
Mailing address:
  • Phone: 313-644-4403
  • Fax: 313-254-9356

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number
License Number State

VIII. Authorized Official

Name: DR. AHMAD HASSAN LEILA
Title or Position: PHARMACIST
Credential: PHARMD
Phone: 313-318-6344