Organization
ELLA PHARMACY LLC
Active
Organization
ELLA PHARMACY LLC
Active
Other names
Garfield pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JINAN HARKOUS (PHARMACIST)
(248) 722-0440
Entity
Organization
Contact information
Practice address
42645 GARFIELD RD, STE 102, CLINTON TOWNSHIP, MI 48038-5022
(586) 416-1100
(586) 416-1101
Mailing address
42645 GARFIELD RD, STE 102, CLINTON TOWNSHIP, MI 48038-5022
(586) 416-1100
(586) 416-1101
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301010142
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2141444
PK
—
Enumeration date
07/25/2013
Last updated
08/14/2013
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