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Organization

ABE'S DRUG STORE LLC

Active
Other names
Abe's Drug Store LLC
Organization subpart
No

Provider details

NPI number
Authorized official
SALAM BASSAM (OWNER)
(313) 686-8666
Entity
Organization

Contact information

Practice address
13770 E 12 MILE RD, WARREN, MI 48088-3751
(586) 250-2520
(586) 250-2565
Mailing address
7651 SCHAEFER RD, DEARBORN, MI 48126-1143
(586) 250-2520
(586) 250-2565

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
5301011341
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2176289
PK
Enumeration date
03/13/2018
Last updated
09/19/2025
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