Organization
EASTERN PHARMACY INC
Active
Other names
SAV-MOR#65 EASTERN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SAMI DABAJA BS PHARMACY (RPH/PRESIDENT)
(313) 999-5720
Entity
Organization
Contact information
Practice address
1159 E MICHIGAN AVE, YPSILANTI, MI 48198-5807
(734) 485-9900
(734) 485-9300
Mailing address
1159 E MICHIGAN AVE, YPSILANTI, MI 48198-5807
(734) 485-9900
(734) 485-9300
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301008336
MI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2368252
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/09/2006
Last updated
06/23/2020
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