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Organization
SAM'S PHARMACY PLLC LONG TERM CARE
Active
Organization
SAM'S PHARMACY PLLC LONG TERM CARE
Active
Parent organization
SAM'S PHARMACY PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAM'S PHARMACY PLLC
Authorized official
BASSAM HARATI (PIC PHARMD)
(313) 340-7777
Entity
Organization
Contact information
Practice address
14533 LIVERNOIS AVE, DETROIT, MI 48238-2010
(313) 525-0110
(313) 340-4449
Mailing address
14533 LIVERNOIS AVE, DETROIT, MI 48238-2010
(313) 340-7777
(313) 340-4449
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558700138
—
MI
Enumeration date
10/14/2025
Last updated
11/01/2025
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