Organization
NINE MILE RX, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KASSEM KHRAIZAT (AUTHORIZED OFFICIAL)
(313) 622-4711
Entity
Organization
Contact information
Practice address
717 E 9 MILE RD, FERNDALE, MI 48220-1986
(248) 305-2275
(248) 305-2276
Mailing address
717 E 9 MILE RD, FERNDALE, MI 48220-1986
(248) 305-2275
(248) 305-2276
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
10/10/2025
Last updated
10/10/2025
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