Organization
INTEGRATED HEALTH PHARMACY LLC
Active
Other names
Modern Health Pharmacy of Canton
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED FAWAZ (OWNER/AGENT)
(734) 961-8885
Entity
Organization
Contact information
Practice address
49650 CHERRY HILL RD., CANTON, MI 48187
(313) 415-6078
Mailing address
49650 CHERRY HILL RD., CANTON, MI 48187
(313) 415-6078
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
09/16/2018
Last updated
07/17/2019
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