Organization
NINE MILE RX, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KASSEM KHRAIZAT (AUTHORIZED OFFICIAL)
(313) 622-4711
Entity
Organization
Contact information
Practice address
717 E 9 MILE RD, FERNDALE, MI 48220-1986
(313) 622-4711
Mailing address
717 E 9 MILE RD, FERNDALE, MI 48220-1986
(313) 622-4711
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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