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General NPI Number Information
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NPI Number | 1699875088
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Entity Type | Organization
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Legal Business Name | FAKIH PHARMACY INC
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 12/14/2015
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Provider Practice Location Address
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Address Line | 5711 SCHAEFER RD
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City | DEARBORN
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State | MI
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Zip | 48126
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Country | US
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Telephone | 313-581-2424
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Fax | 313-581-2193
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Provider Business Mailing Address
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Address Line | 5711 SCHAEFER RD
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City | DEARBORN
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State | MI
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Zip | 48126
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Country | US
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Telephone | 313-581-2424
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Fax | 313-581-2193
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Authorized Official
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Title or Position | OWNER
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Name | MR. HAYTHAM FAKIH
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Credential | RPH
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Telephone | 313-581-2424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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