Organization
PRIME CARE PHARMACY LLC
Active
Other names
Prime Care Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RABIH EL-SIBAI (PRESIDENT, AO)
(313) 525-2425
Entity
Organization
Contact information
Practice address
3 HERITAGE DR # 3, SOUTHGATE, MI 48195-3000
(734) 324-1290
(734) 324-1292
Mailing address
3 HERITAGE DR # 3, SOUTHGATE, MI 48195-3000
(734) 324-1290
(734) 324-1292
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301010925
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160603
PK
—
Enumeration date
05/11/2016
Last updated
09/19/2025
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