Organization
NOVA PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMAD ABOU KHODR (OWNER)
(313) 777-7778
Entity
Organization
Contact information
Practice address
15140 LEVAN RD, SUITE 40, LIVONIA, MI 48154
(734) 743-5819
Mailing address
15140 LEVAN RD, SUITE 40, LIVONIA, MI 48154
(734) 743-5819
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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