Organization
DOWNRIVER FAMILY PHARMACY LLC
Active
Other names
Downriver Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BILAL CHAABAN (OWNER)
(313) 995-1174
Entity
Organization
Contact information
Practice address
14156 EUREKA RD, SOUTHGATE, MI 48195-2055
(734) 285-0003
(734) 285-0274
Mailing address
25205 TROWBRIDGE ST, DEARBORN, MI 48124-2414
(313) 995-1174
(734) 285-0274
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301010426
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2145768
PK
—
Enumeration date
05/12/2014
Last updated
02/22/2017
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