Organization
GREENFIELD NINE PHARMACY LLC
Active
Other names
Pharmor Pharmacy - Greenfield
Organization subpart
No
Provider details
NPI number
Authorized official
ABDO SHOUBAH PHR, SHRM-CP (OWNER)
(248) 809-6024
Entity
Organization
Contact information
Practice address
15627 W 9 MILE RD, SOUTHFIELD, MI 48075-3718
(248) 809-6024
(248) 809-6045
Mailing address
15627 W 9 MILE RD, SOUTHFIELD, MI 48075-3718
(248) 809-6024
(248) 809-6045
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301010533
MI
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2147680
PK
—
Enumeration date
09/22/2014
Last updated
01/28/2025
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