Organization
MERCY MEDICAL PHARMACY , LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDALLAH KHASHAB (PHARMD / OWNER)
(248) 802-0248
Entity
Organization
Contact information
Practice address
19011 E 10 MILE RD, B, ROSEVILLE, MI 48066-3901
(248) 802-0248
Mailing address
19011 E 10 MILE RD, B, ROSEVILLE, MI 48066-3901
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
12/05/2014
Last updated
12/05/2014
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