Organization
FERNDALE FAMILY PHARMACY INC
Active
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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