# MILLENNIUM PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033327754
- **Authorized official:** ALIDAH NATHOO (RPH)
- **Authorized official phone:** (734) 451-5009

## Contact information

- **Practice address:** 1102 ANN ARBOR RD W, PLYMOUTH, MI 48170-2131
- **Practice address phone:** (734) 451-5009
- **Practice address fax:** (734) 451-2413
- **Mailing address:** 1102 ANN ARBOR RD W, PLYMOUTH, MI 48170-2131
- **Mailing address phone:** (734) 451-5009
- **Mailing address fax:** (734) 451-2413

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | 5301007005 | MI | Yes |

## Other

- **Enumeration date:** 05/18/2007
- **Last updated:** 08/22/2020