Organization
FA ENTERPRISES INC
Active
Organization
FA ENTERPRISES INC
Active
Other names
MED/RX, MEDRX
Organization subpart
No
Provider details
NPI number
Authorized official
NUMAN ALI-AHMED RPH (PHARMACY MANAGER)
(313) 928-4922
Entity
Organization
Contact information
Practice address
15101 SOUTHFIELD RD, STE 101, ALLEN PARK, MI 48101-2697
(313) 928-4922
(313) 928-4923
Mailing address
15101 SOUTHFIELD RD, STE 101, ALLEN PARK, MI 48101-2697
(313) 928-4922
(313) 928-4923
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301007798
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2046560
PK
—
05
—
2365357
—
MI
Enumeration date
10/03/2006
Last updated
06/16/2018
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