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Organization

LITEMED RX INC

Active
Other names
LITEMED PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
BENJAMIN BALLOUT (OWNER, MGR)
(734) 338-6618
Entity
Organization

Contact information

Practice address
5727 INKSTER RD, GARDEN CITY, MI 48135-2960
(734) 338-6618
(734) 338-6617
Mailing address
5727 INKSTER RD, GARDEN CITY, MI 48135-2960
(734) 338-6618
(734) 338-6617

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
5301010314
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2144131
PK
Enumeration date
01/28/2014
Last updated
04/09/2014
About Stedi
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