Organization
LA VITA LLC
Active
Other names
Hamzeh Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AZZAM MOUSSAWEL (PHARM.D.)
(734) 718-3705
Entity
Organization
Contact information
Practice address
10437 W WARREN AVE, DEARBORN, MI 48126
(313) 582-1670
(313) 582-0707
Mailing address
10437 W WARREN AVE, DEARBORN, MI 48126-1660
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/14/2017
Last updated
08/14/2018
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