# VENOY FAMILY PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** EXECUTIVE CARE PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578109377
- **Authorized official:** HASSAN A ISMAIL RPH (OWNER)
- **Authorized official phone:** (313) 485-0111

## Contact information

- **Practice address:** 17000 EXECUTIVE PLAZA DR STE 104, DEARBORN, MI 48126-2793
- **Practice address phone:** (313) 634-4858
- **Practice address fax:** (313) 908-1184
- **Mailing address:** 17000 EXECUTIVE PLAZA DR STE 104, DEARBORN, MI 48126-2793
- **Mailing address phone:** (313) 634-4858
- **Mailing address fax:** (313) 908-1184

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 11/27/2019
- **Last updated:** 02/14/2024