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Organization
PHARMACY SPECIALIST, INC.
Active
Organization
PHARMACY SPECIALIST, INC.
Active
Other names
PHARMACY SPECIALIST
Organization subpart
No
Provider details
NPI number
Authorized official
MOJEEB SHAHBAIN RPH. (PHARMACIST)
(734) 744-4844
Entity
Organization
Contact information
Practice address
14155 FARMINGTON RD, LIVONIA, MI 48154-5422
(734) 744-4844
(734) 744-4847
Mailing address
14155 FARMINGTON RD, LIVONIA, MI 48154-5422
(734) 744-4844
(734) 744-4847
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
—
NULL
3336C0004X
Compounding Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
5301009348
MI
3336S0011X
Specialty Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437477254
—
MI
01
—
2373998
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/05/2010
Last updated
10/16/2012
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