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Organization
CET PHARMACY LTC LLC
Active
Organization
CET PHARMACY LTC LLC
Active
Other names
CET Pharmacy LTC
Organization subpart
No
Provider details
NPI number
Authorized official
EDDY AOUN (OFFICER)
(313) 525-2911
Entity
Organization
Contact information
Practice address
6140 28TH ST SE STE 105, GRAND RAPIDS, MI 49546-6938
(734) 796-1534
Mailing address
6140 28TH ST SE, STE 105, GRAND RAPIDS, MI 49546-6938
(734) 796-1534
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
5301010531
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146993
PK
—
Enumeration date
08/12/2014
Last updated
09/26/2014
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