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Organization
KC PHARMA LLC
Active
Organization
KC PHARMA LLC
Active
Other names
LTC Ray's Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KHALIL CHAHINE PHARMD (OWNER)
(734) 432-2015
Entity
Organization
Contact information
Practice address
37672 PROFESSIONAL CENTER DR STE 130B, LIVONIA, MI 48154-1140
(734) 432-2015
(734) 432-2016
Mailing address
37672 PROFESSIONAL CENTER DR STE 130B, LIVONIA, MI 48154-1140
(734) 432-2015
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
5301010939
MI
3336L0003X
Long Term Care Pharmacy
Primary
5301010939
MI
Other
Enumeration date
07/19/2017
Last updated
08/22/2022
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