# KC PHARMA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LTC Ray's Drugs
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578086815
- **Authorized official:** MR. KHALIL CHAHINE PHARMD (OWNER)
- **Authorized official phone:** (734) 432-2015

## Contact information

- **Practice address:** 37672 PROFESSIONAL CENTER DR STE 130B, LIVONIA, MI 48154-1140
- **Practice address phone:** (734) 432-2015
- **Practice address fax:** (734) 432-2016
- **Mailing address:** 37672 PROFESSIONAL CENTER DR STE 130B, LIVONIA, MI 48154-1140
- **Mailing address phone:** (734) 432-2015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 5301010939 | MI | — |
| 3336L0003X | Long Term Care Pharmacy | 5301010939 | MI | Yes |

## Other

- **Enumeration date:** 07/19/2017
- **Last updated:** 08/22/2022