Organization
CANFIELD PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARIS MAZEN GAMMOH PHARM D (OWNER)
(313) 458-7529
Entity
Organization
Contact information
Practice address
4673 CONNER ST, DETROIT, MI 48215-2028
(313) 458-7529
(313) 458-7547
Mailing address
4673 CONNER ST, DETROIT, MI 48215-2028
(313) 458-7529
(313) 458-7547
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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