Organization
SUPERIOR COMPOUNDING PHARMACY LLC
Active
Other names
Superior Compounding Pharmacy, Superior Compounding Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ALI SHEHADEH (OWNER)
(734) 404-6065
Entity
Organization
Contact information
Practice address
46983 FIVE MILE RD, PLYMOUTH, MI 48170-2486
(734) 404-6065
(734) 892-2909
Mailing address
46983 FIVE MILE RD, PLYMOUTH, MI 48170-2486
(734) 404-6065
(734) 892-2909
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176794
PK
—
Enumeration date
02/28/2018
Last updated
04/21/2021
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