Organization
KEYSTONE SPECIALTY CARE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HALA BAZZI-LANG PHARMD (PHARMACIST)
(313) 805-2444
Entity
Organization
Contact information
Practice address
46325 W 12 MILE RD STE 150, NOVI, MI 48377-2458
(313) 805-2444
Mailing address
46325 W 12 MILE RD STE 150, NOVI, MI 48377-2458
(248) 267-3004
(248) 267-3005
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
12/10/2019
Last updated
06/04/2020
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