Organization
CENTRAL PHARMACY - CHARLOTTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FADI NUSEIBEH (MEMBER)
(517) 543-9990
Entity
Organization
Contact information
Practice address
354 S COCHRAN AVE STE 3, CHARLOTTE, MI 48813-1569
(517) 543-9990
(517) 543-9910
Mailing address
354 S COCHRAN AVE STE 3, CHARLOTTE, MI 48813-1569
(517) 543-9990
(517) 543-9910
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301011108
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168119
PK
—
05
—
2383115
—
MI
Enumeration date
12/21/2016
Last updated
10/28/2021
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