Healthcare Provider Details
I. General information
NPI: 1679498315
Provider Name (Legal Business Name): PHARMACURE RX LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
31500 DEQUINDRE RD STE 300
WARREN MI
48092-1057
US
IV. Provider business mailing address
31500 DEQUINDRE RD STE 300
WARREN MI
48092-1057
US
V. Phone/Fax
- Phone: 248-798-3816
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RITA
MORAD
Title or Position: OWNER/PIC
Credential: PHARMD
Phone: 248-798-3816