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Organization

VENOY FAMILY PHARMACY LLC

Active
Other names
EXECUTIVE CARE PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
HASSAN A ISMAIL RPH (OWNER)
(313) 485-0111
Entity
Organization

Contact information

Practice address
17000 EXECUTIVE PLAZA DR STE 104, DEARBORN, MI 48126-2793
(313) 634-4858
(313) 908-1184
Mailing address
17000 EXECUTIVE PLAZA DR STE 104, DEARBORN, MI 48126-2793
(313) 634-4858
(313) 908-1184

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary

Other

Enumeration date
11/27/2019
Last updated
02/14/2024
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