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Organization
LIFETIME PHARMACY
Active
Organization
LIFETIME PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALIEDDIN ALAIWAT PHARM.D. (PIC)
(313) 675-6301
Entity
Organization
Contact information
Practice address
2142 MONROE ST, DEARBORN, MI 48124-3057
(313) 444-2482
Mailing address
2142 MONROE ST, DEARBORN, MI 48124-3057
(313) 444-2482
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
Primary
—
—
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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