Organization
MY PHARMACY
Active
Organization
MY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARES ABDULMALEK (OWNER)
(313) 674-5968
Entity
Organization
Contact information
Practice address
2200 MONROE ST STE 4, DEARBORN, MI 48124-3058
(313) 674-5968
Mailing address
2765 ROULO ST, DEARBORN, MI 48120-1544
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/24/2020
Last updated
09/10/2020
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