Organization
CAPITOL PHARMACY LLC
Active
Other names
Capitol Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREDRICK GHANNAM R.PH. (CEO, OWNER)
(248) 895-3784
Entity
Organization
Contact information
Practice address
109 S WASHINGTON SQ, LANSING, MI 48933-1703
(517) 702-1111
(248) 449-0960
Mailing address
PO BOX 993, NOVI, MI 48376-0993
(517) 702-1111
(248) 449-0960
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
5301007177
MI
Other
Enumeration date
04/24/2006
Last updated
08/22/2020
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