Organization
FRASER RX PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI EL-MOUSSAWI (OWNER)
(248) 533-3542
Entity
Organization
Contact information
Practice address
16861 E 14 MILE RD., FRASER, MI 48026
(586) 217-5217
(586) 217-5236
Mailing address
16861 E 14 MILE RD., FRASER, MI 48026
(586) 217-5217
(586) 217-5236
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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