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Organization

FERNDALE FAMILY PHARMACY INC

Active
Other names
FERNDALE FAMILY PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
AMIN KHRAIZAT (OWNER, OPERATING OFFICER, AO)
(313) 415-7754
Entity
Organization

Contact information

Practice address
753 W 9 MILE RD, FERNDALE, MI 48220-1217
(248) 565-8031
(248) 565-8358
Mailing address
753 W 9 MILE RD, FERNDALE, MI 48220-1217
(248) 565-8031
(248) 565-8358

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
5301010986
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1346793817
MI
01
2162361
PK
Enumeration date
08/01/2016
Last updated
09/19/2025
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