Organization
MACOMB PHARMACY, INC.
Active
Organization
MACOMB PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD GHANNAM RPH (PRESIDENT)
(586) 979-9020
Entity
Organization
Contact information
Practice address
2405 E 14 MILE RD, STERLING HEIGHTS, MI 48310-5961
(586) 979-9020
Mailing address
2405 E 14 MILE RD, STERLING HEIGHTS, MI 48310-5961
(586) 979-9020
(586) 979-9032
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301008172
MI
Other
Enumeration date
08/01/2006
Last updated
08/22/2020
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