Organization
PELHAM PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE HAIDAR (RPH)
(313) 565-2745
Entity
Organization
Contact information
Practice address
3815 PELHAM ST, SUITE 3, DEARBORN, MI 48124-3852
(313) 565-2745
(313) 565-2747
Mailing address
3815 PELHAM ST, SUITE 3, DEARBORN, MI 48124-3852
(313) 565-2745
(313) 565-2747
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301010530
MI
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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