Organization
OWOLABI LLC
Active
Other names
CHAMPAIGN RX
Organization subpart
No
Provider details
NPI number
Authorized official
ALI HOJEIJ RPH (OWNER)
(313) 382-0000
Entity
Organization
Contact information
Practice address
14726 CHAMPAIGN RD, ALLEN PARK, MI 48101-1617
(313) 382-0000
(313) 382-0002
Mailing address
14726 CHAMPAIGN RD, ALLEN PARK, MI 48101-1617
(313) 382-0000
(313) 382-0002
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2387531
—
MI
Enumeration date
11/18/2019
Last updated
03/24/2022
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