Organization · NPI-2

Apollo Medical Pharmacy LLC

Point of Service · Detroit, MI

NPI number1962801373
StatusActive
Last updated in NPPESApr 14, 2025

Details

NPI
1962801373
Entity type
Organization (NPI-2)
Legal business name
Apollo Medical Pharmacy LLC
Organization subpart
No
Enumeration date
Aug 21, 2014
Certification date
Apr 14, 2025
Last updated
Apr 14, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
305S00000X Point of Service5315049752MIYes
3336L0003X Pharmacy, Long Term Care Pharmacy––

Other names

  • Pharmor Pharmacy - Evergreen (Doing Business As)

Practice location

20250 West 7 Mile Road
Detroit, MI 48219

Phone 313-535-9755

Mailing address

20250 W 7 Mile Rd
Detroit, MI 48219-3469

Phone 313-535-9755

Authorized official

Omar Abazeed
Pharmacist In Charge
3135359755

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