Organization
KC PHARMA LLC
Active
Other names
LTC Ray's Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KHALIL CHAHINE PHARMD (OWNER)
(734) 432-2015
Entity
Organization
Contact information
Practice address
37672 PROFESSIONAL CENTER DR STE 130B, LIVONIA, MI 48154-1140
(734) 432-2015
(734) 432-2016
Mailing address
37672 PROFESSIONAL CENTER DR STE 130B, LIVONIA, MI 48154-1140
(734) 432-2015
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
5301010939
MI
3336L0003X
Long Term Care Pharmacy
Primary
5301010939
MI
Other
Enumeration date
07/19/2017
Last updated
08/22/2022
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