Abe S Pharmacy LLC
Pharmacy, Community/Retail Pharmacy in Warren, MI. Organization (NPI-2).
NPI number1013453950
StatusActive
Last updated in NPPESJun 22, 2021
Details
- NPI
- 1013453950
- Entity type
- Organization (NPI-2)
- Legal business name
- Abe S Pharmacy LLC
- Organization subpart
- No
- Enumeration date
- Jan 17, 2017
- Certification date
- Jun 22, 2021
- Last updated
- Jun 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 5301011084 | MI | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Abe'S Drug Store (Doing Business As)
Practice location
13760 E 12 Mile Rd Ste BWarren, MI 48088-3751
Phone 586-362-8404 · Fax 586-251-0322
Mailing address
13760 E 12 Mile Rd Ste BWarren, MI 48088-3751
Phone 586-362-8404 · Fax 586-251-0322
Authorized official
Hussein Mansour
Pic
3136868666
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