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Organization
UNITED SPECIALTY PHARMACY LLC
Active
Organization
UNITED SPECIALTY PHARMACY LLC
Active
Other names
United Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BILAL CHAABAN (OWNER)
(313) 558-9448
Entity
Organization
Contact information
Practice address
25205 TROWBRIDGE ST, DEARBORN, MI 48124-2414
(313) 558-9448
(313) 558-9451
Mailing address
25205 TROWBRIDGE ST, DEARBORN, MI 48124-2414
(313) 558-9448
(313) 558-9451
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
5301010921
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159672
PK
—
Enumeration date
04/19/2016
Last updated
01/21/2022
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