Organization
WARRENDALE PHARMACY RX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI DGHEISH (OWNER)
(313) 400-2848
Entity
Organization
Contact information
Practice address
16921 W WARREN AVE, DETROIT, MI 48228-3504
(313) 400-2848
Mailing address
16921 W WARREN AVE, DETROIT, MI 48228-3504
(313) 400-2848
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5315094728
MI
Other
Enumeration date
07/14/2018
Last updated
01/30/2019
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