Organization
PALMER LTC PHARMACY LLC
Active
Other names
PALMER LTC PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHAWKI M FAKIH (PHARMACIST IS CHARGE)
(313) 438-1078
Entity
Organization
Contact information
Practice address
4020 VENOY RD STE 900B, WAYNE, MI 48184-4818
(313) 438-5157
Mailing address
4020 VENOY RD STE 900B, WAYNE, MI 48184-1869
(313) 438-5157
(616) 825-6237
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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