Organization
MYMED PHARMACY
Active
Organization
MYMED PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI DAHER (OWNER)
(313) 674-0002
Entity
Organization
Contact information
Practice address
2616 WASHTENAW RD, YPSILANTI, MI 48197-1505
(313) 674-0002
Mailing address
904 N JOHN DALY RD, DEARBORN HEIGHTS, MI 48127-4104
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
802874672
ART OF ORG ID #
MI
Enumeration date
02/09/2023
Last updated
02/09/2023
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