Organization
SUPERIOR CARE PHARMACY LLC
Active
Other names
superior care pharmacy llc
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMAD TAKACH (OWNER)
(313) 914-3166
Entity
Organization
Contact information
Practice address
6636 N TELEGRAPH RD, DEARBORN HEIGHTS, MI 48127-2250
(313) 445-5626
Mailing address
6636 N TELEGRAPH RD STE B, DEARBORN HEIGHTS, MI 48127-2254
(313) 914-3166
(313) 914-3162
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073171385
—
MI
Enumeration date
06/01/2019
Last updated
10/24/2022
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