# PRESTIGE SPECIALTY PHARMACY 2

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Prestige specialty pharmacy 2
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801350772
- **Authorized official:** MR. AMRO SHARAFELDIN (CEO)
- **Authorized official phone:** (586) 800-8002

## Contact information

- **Practice address:** 31700 VAN DYKE AVE STE B, WARREN, MI 48093-7949
- **Practice address phone:** (586) 800-8002
- **Practice address fax:** (586) 883-9388
- **Mailing address:** 31700 VAN DYKE AVE STE B, WARREN, MI 48093-7949
- **Mailing address phone:** (586) 800-8002
- **Mailing address fax:** (586) 883-9388

## Taxonomy

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

## Other

- **Enumeration date:** 01/24/2019
- **Last updated:** 01/24/2019