Organization
EXCLUSIVE FAMILY PHARMACY LLC
Active
Other names
EXCLUSIVE FAMILY PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
AIMAN KAWAS (PHARMACY MANAGER)
(248) 336-2733
Entity
Organization
Contact information
Practice address
911 E 9 MILE RD, FERNDALE, MI 48220-1934
(248) 336-2733
(248) 336-2729
Mailing address
PO BOX 5157, DEARBORN, MI 48128-0157
(248) 336-2733
(248) 336-2729
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301008871
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2371223
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/28/2008
Last updated
04/26/2011
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