Organization
RX 101 LLC
Active
Other names
Kendallwood Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
INSIA HUSSAIN PHARMD (PRESIDENT)
(734) 934-5671
Entity
Organization
Contact information
Practice address
33100 W 12 MILE RD STE 1, FARMINGTON HILLS, MI 48334-3307
(248) 987-7200
(248) 987-7202
Mailing address
33100 W 12 MILE RD STE # 1, FARMINGTON HILLS, MI 48334
(248) 987-7200
(248) 987-7202
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301009859
MI
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2136129
PK
—
Enumeration date
07/20/2012
Last updated
09/19/2025
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