Organization
EASTBORN RX PHARMACY LLC
Active
Organization
EASTBORN RX PHARMACY LLC
Active
Other names
Eastborn RX Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ALI CHEAITO PHARMD (OWNER)
(313) 491-1010
Entity
Organization
Contact information
Practice address
7526 WYOMING ST, SUITE 1, DEARBORN, MI 48126-1690
(313) 491-1010
(313) 491-2020
Mailing address
7526 WYOMING ST, SUITE 1, DEARBORN, MI 48126-1690
(313) 491-1010
(313) 491-2020
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301009915
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2137262
PK
—
Enumeration date
07/25/2012
Last updated
08/09/2024
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