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NPI Code Detail

MEDICARE: RX 101 LLC

MEDICARE: RX 101 LLC
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
1333600000XPharmacy
23336C0004XCompounding Pharmacy
33336C0003XCommunity/Retail Pharmacy5301009859MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12136129OTHERPK

General Provider Information

NPI Number : 1427303916
Entity Type Code : Organization
Provider Name (Legal Business Name) : RX 101 LLC
Provider Business Mailing Address
First Line : 33100 W 12 MILE RD STE # 1
Second Line :
City : FARMINGTON HILLS
State : MI
Zip : 48334
Country : US
Telephone Number : 248-987-7200
Fax Number : 248-987-7202
Provider Business Practice Location Address
First Line : 33100 W 12 MILE RD STE 1
Second Line :
City : FARMINGTON HILLS
State : MI
Zip : 48334-3307
Country : US
Telephone Number : 248-987-7200
Fax Number : 248-987-7202
Authorized Official
Title or Position : PRESIDENT
Name : INSIA HUSSAIN
Credential : PHARMD
Telephone Number : 734-934-5671
Provider Enumeration Date : 07/20/2012
Last Update Date : 09/19/2025

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Directions to “RX 101 LLC ” Practice Location

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