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Organization
FOX HILLS MEDI-MART DISCOUNT DRUG CENTER INC
Active
Organization
FOX HILLS MEDI-MART DISCOUNT DRUG CENTER INC
Active
Other names
FOX HILLS MEDI-MART, LTD
Organization subpart
No
Provider details
NPI number
Authorized official
WESSAM YOUSEF (PRESIDENT)
(248) 858-2225
Entity
Organization
Contact information
Practice address
1821 N CAMPBELL RD, ROYAL OAK, MI 48073-4237
(248) 858-2225
(248) 858-2527
Mailing address
1539 S OPDYKE RD, BLOOMFIELD HILLS, MI 48304-1042
(248) 858-2225
(248) 858-2527
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
NULL
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
5301003021
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2177107
PK
—
05
—
2528957
—
MI
Enumeration date
04/19/2018
Last updated
02/26/2024
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