Organization
WARREN MEDICAL PHARMACY LLC
Active
Other names
Pharmor Pharmacy Warren
Organization subpart
No
Provider details
NPI number
Authorized official
WAGDI ABDULLA RPH (MEMBER OWNER)
(586) 757-9100
Entity
Organization
Contact information
Practice address
27379 VAN DYKE AVE, WARREN, MI 48093-2844
(586) 757-9100
(586) 757-9122
Mailing address
27379 VAN DYKE AVE, WARREN, MI 48093-2844
(586) 757-9100
(586) 757-9122
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301009073
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114168176
—
MI
01
—
2119509
PK
—
Enumeration date
03/20/2009
Last updated
03/06/2017
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