MEDICARE: SABEEN PHARMACY , P.C.

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5301009161	OTHER	MI	PHARMACY STATE LICENSE

General Provider Information

NPI Number	:	1952537276
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SABEEN PHARMACY , P.C.

Provider Business Mailing Address
First Line	:	241 INKSTER RD
Second Line	:
City	:	GARDEN CITY
State	:	MI
Zip	:	48135-4116
Country	:	US
Telephone Number	:	734-266-7878
Fax Number	:	734-266-2277

Provider Business Practice Location Address
First Line	:	241 INKSTER RD
Second Line	:
City	:	GARDEN CITY
State	:	MI
Zip	:	48135-4116
Country	:	US
Telephone Number	:	734-266-7878
Fax Number	:	734-266-2277

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ALI J FAKIH
Credential	:	RPH
Telephone Number	:	734-266-7878

Provider Enumeration Date	:	06/01/2009
Last Update Date	:	08/09/2009

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