Organization
MITTEN FAMILY PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI AL-MAWLA (OWNER/PIC)
(734) 799-9000
Entity
Organization
Contact information
Practice address
3108 VAN HORN RD, TRENTON, MI 48183
(734) 799-9000
Mailing address
18227 COUNTRY CLUB CIR, RIVERVIEW, MI 48193-8162
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
06/03/2025
Last updated
06/04/2025
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