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Organization
RED CAP PHARMACY 002, LLC
Active
Organization
RED CAP PHARMACY 002, LLC
Active
Other names
Red Cap Pharmacy 002, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE SHEHADI (CEO)
(313) 737-0691
Entity
Organization
Contact information
Practice address
2200 S WESTERN AVE STE F, CHICAGO, IL 60608-3816
(313) 737-0691
(313) 286-0220
Mailing address
37484 INTERCHANGE DR, FARMINGTON HILLS, MI 48335-1023
(313) 737-0691
(313) 286-0220
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
054.020246
IL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168156
PK
—
Enumeration date
03/09/2017
Last updated
03/09/2017
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