Organization
FAID & RANA INC
Active
Other names
FRD PHARMACY SAVMOR
Organization subpart
No
Provider details
NPI number
Authorized official
SAMI DABAJA (PRESIDENT/PHARMACIST)
(313) 871-1115
Entity
Organization
Contact information
Practice address
9811 CONANT ST, HAMTRAMCK, MI 48212-3877
(313) 871-1115
Mailing address
9811 CONANT ST, HAMTRAMCK, MI 48212-3877
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301007084
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2360028
OTHER ID NUMBER
—
05
—
2360028
—
MI
Enumeration date
08/27/2006
Last updated
06/23/2020
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