Organization
EXCEL RX LLC
Active
Other names
Excel Rx Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE SHAMOUN RPH (OWNER, PIC)
(248) 559-8888
Entity
Organization
Contact information
Practice address
18161 W 12 MILE RD, SUITE 4, LATHRUP VILLAGE, MI 48076-2662
(248) 559-8888
(248) 559-8889
Mailing address
18161 W 12 MILE RD, SUITE 4, LATHRUP VILLAGE, MI 48076-2662
(248) 559-8888
(248) 559-8889
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301010532
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225448814
—
MI
01
—
2145638
PK
—
Enumeration date
05/05/2014
Last updated
02/19/2025
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