Organization
CROWN SPECIALTY PHARMACY LLC
Active
Other names
crown pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALI JAMIL FAKIH RPH (PRESIDENT)
(313) 532-3784
Entity
Organization
Contact information
Practice address
24401 PLYMOUTH RD, REDFORD, MI 48239-1616
(313) 532-3784
(313) 532-3718
Mailing address
24401 PLYMOUTH RD, REDFORD, MI 48239-1616
(313) 532-3784
(313) 532-3718
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301010295
MI
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2346802
—
MI
Enumeration date
02/26/2007
Last updated
08/25/2025
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