Organization
UNITED PHARMACY ENTERPRISES INC
Active
Other names
united pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NAGHAM FARAJ (CEO)
(313) 820-9693
Entity
Organization
Contact information
Practice address
5727 INKSTER RD, GARDEN CITY, MI 48135-2960
(734) 422-0788
(734) 422-0795
Mailing address
5727 INKSTER RD, GARDEN CITY, MI 48135-2960
(734) 422-0788
(734) 422-0795
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
5301009278
MI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2373556
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/10/2009
Last updated
01/15/2010
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