Organization
PANACEA RX LLC
Active
Other names
Panacea Rx Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
FARAH HAMAM (OWNER)
(313) 522-9994
Entity
Organization
Contact information
Practice address
1650 MONROE ST, DEARBORN, MI 48124-2913
(313) 522-9994
Mailing address
1650 MONROE ST, DEARBORN, MI 48124-2913
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301011331
MI
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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