# ABES DRUG STORE 102 LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972329985
- **Authorized official:** RAMZI KASSEM PHARMD (CEO)
- **Authorized official phone:** (586) 981-0901

## Contact information

- **Practice address:** 30695 LITTLE MACK AVE STE F, ROSEVILLE, MI 48066-1771
- **Practice address phone:** (586) 459-0836
- **Practice address fax:** (586) 571-0650
- **Mailing address:** 13770 E 12 MILE RD, WARREN, MI 48088-3751
- **Mailing address phone:** (586) 459-0836
- **Mailing address fax:** (586) 571-0650

## Taxonomy

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

## Other

- **Enumeration date:** 11/25/2024
- **Last updated:** 11/25/2024