# UNITED SPECIALTY PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** United Specialty Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629422498
- **Authorized official:** BILAL CHAABAN (OWNER)
- **Authorized official phone:** (313) 558-9448

## Contact information

- **Practice address:** 25205 TROWBRIDGE ST, DEARBORN, MI 48124-2414
- **Practice address phone:** (313) 558-9448
- **Practice address fax:** (313) 558-9451
- **Mailing address:** 25205 TROWBRIDGE ST, DEARBORN, MI 48124-2414
- **Mailing address phone:** (313) 558-9448
- **Mailing address fax:** (313) 558-9451

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 5301010921 | MI | Yes |

## Other

- **Enumeration date:** 04/19/2016
- **Last updated:** 01/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2159672 | PK | — |
