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Organization

CAPITOL PHARMACY LLC

Active
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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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