MEDICARE: COMMERCE FAMILY PHARMACY, 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
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1912437351
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMERCE FAMILY PHARMACY, LLC

Provider Business Mailing Address
First Line	:	2549 UNION LAKE RD
Second Line	:
City	:	COMMERCE TWP
State	:	MI
Zip	:	48382-3555
Country	:	US
Telephone Number	:	248-779-7825
Fax Number	:	248-366-4773

Provider Business Practice Location Address
First Line	:	2549 UNION LAKE RD
Second Line	:
City	:	COMMERCE TOWNSHIP
State	:	MI
Zip	:	48382-3555
Country	:	US
Telephone Number	:	248-779-7825
Fax Number	:	248-366-4773

Authorized Official
Title or Position	:	PHARMACIST, OWNER
Name	:	HUSSEIN EL-ALIE
Credential	:
Telephone Number	:	313-587-9294

Provider Enumeration Date	:	06/18/2017
Last Update Date	:	07/21/2022

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