Organization
PRIME PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD HAMDAN (OWNER)
(734) 309-7082
Entity
Organization
Contact information
Practice address
1948 FORD AVE, WYANDOTTE, MI 48192-2308
(734) 309-7082
(734) 309-7039
Mailing address
1948 FORD AVE, WYANDOTTE, MI 48192
(734) 309-7082
(734) 309-3039
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301011147
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168765
PK
—
Enumeration date
03/31/2017
Last updated
07/21/2022
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