Healthcare Provider Details

I. General information

NPI: 1285016675
Provider Name (Legal Business Name): SNF HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2015
Last Update Date: 07/24/2025
Certification Date: 07/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31035 SCHOOLCRAFT
LIVONIA MI
48150
US

IV. Provider business mailing address

31035 SCHOOLCRAFT
LIVONIA MI
48150
US

V. Phone/Fax

Practice location:
  • Phone: 800-518-9831
  • Fax: 248-308-2635
Mailing address:
  • Phone: 800-518-9831
  • Fax: 248-308-2635

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPH29432
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number5301010689
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number99-7355
License Number StateOK
# 4
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number1525-43
License Number StateWI
# 5
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number30240
License Number StateTX
# 6
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number2015035264
License Number StateMO
# 7
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberNRP.022535050-03
License Number StateOH
# 8
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number64002140A
License Number StateIN
# 9
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number264809
License Number StateMN
# 10
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number4571
License Number StateIA
# 11
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number054.019538
License Number StateIL
# 12
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberY006840
License Number StateAZ

VIII. Authorized Official

Name: MR. FAYEZ FARAJ
Title or Position: OWNER, PIC
Credential: RPH
Phone: 800-518-9831