Organization
PATIENT CARE PHARMACY LLC
Active
Organization
PATIENT CARE PHARMACY LLC
Active
Other names
Patient Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AHMAD ABBAS PHARMD (OWNER / PIC)
(313) 680-2452
Entity
Organization
Contact information
Practice address
15301 TIREMAN AVE, DEARBORN, MI 48126-1045
(313) 584-2400
(313) 584-2404
Mailing address
15301 TIREMAN AVE, DEARBORN, MI 48126-1045
(313) 584-2400
(313) 584-2404
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301009285
MI
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2123109
PK
—
Enumeration date
12/08/2009
Last updated
06/28/2016
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