Organization
MISHAWAKA FAMILY PHARMACY LLC
Active
Other names
Mishawaka Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAWKI FAKIH R.PH (PHARMACIST)
(313) 443-5959
Entity
Organization
Contact information
Practice address
611 E DOUGLAS RD, STE 104, MISHAWAKA, IN 46545-1464
(574) 340-0388
Mailing address
611 E DOUGLAS RD, STE 104, MISHAWAKA, IN 46545-1464
(574) 340-0388
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
60006269B
IN
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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