# WELLPATH PHARMA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BELLE ISLE RX LTC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598634677
- **Authorized official:** LAURENA HAZEM CHAHINE (OWNER/PIC)
- **Authorized official phone:** (313) 200-0200

## Contact information

- **Practice address:** 18505 GRAND RIVER AVE, DETROIT, MI 48223-2318
- **Practice address phone:** (313) 200-0200
- **Practice address fax:** (313) 200-0222
- **Mailing address:** 18505 GRAND RIVER AVE, DETROIT, MI 48223-2318
- **Mailing address phone:** (313) 200-0200
- **Mailing address fax:** (313) 200-0222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 11/05/2025
- **Last updated:** 06/09/2026