Organization
KINGSWAY MEDICAL PHARMACY
Active
Other names
KINGSWAY MEDICAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
HUSSIEN HACHOUCHE RPH (PIC)
(313) 641-6483
Entity
Organization
Contact information
Practice address
1675 KINGSWAY CT, TRENTON, MI 48183-1958
(734) 493-3127
(734) 493-3128
Mailing address
1675 KINGSWAY CT, TRENTON, MI 48183-1958
(734) 493-3127
(734) 493-3128
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301008548
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2042541
PK
—
05
—
2369177
—
MI
Enumeration date
12/13/2006
Last updated
02/20/2017
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