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Organization
SAV MAX GLORY #2
Active
Organization
SAV MAX GLORY #2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAHMOUD M RIFAI (PHARMACIST)
(313) 252-2400
Entity
Organization
Contact information
Practice address
14100 WOODWARD AVE, HIGHLAND PARK, MI 48203-2936
(313) 252-2400
Mailing address
14100 WOODWARD AVE, HIGHLAND PARK, MI 48203-2936
(313) 252-2400
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
5301008585
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4522719
NABP
—
Enumeration date
03/05/2007
Last updated
08/22/2020
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