Organization
MYA PHARMACY LLC
Active
Parent organization
MONA FAKIH DO PC
Other names
Heights Rx Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
MONA FAKIH DO PC
Authorized official
DR. MONA YOUSSEF FAKIH DO (OWNER)
(313) 218-4140
Entity
Organization
Contact information
Practice address
25150 FORD ROAD, SUITE 120, DEARBORN HEIGHTS, MI 48127-3115
(313) 277-4044
(313) 277-4045
Mailing address
25308 MARSHALL ST, DEARBORN, MI 48124
(313) 218-4140
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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