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Organization

SAVON MEDICAL PHARMACY, LLC

Active
Other names
SAVON MEDICAL PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
AHMED ABOUHASWA RPH (OWNER)
(718) 879-0087
Entity
Organization

Contact information

Practice address
18000 LIVERNOIS AVE, DETROIT, MI 48221-2763
(313) 862-8800
(313) 862-8803
Mailing address
18000 LIVERNOIS AVE, DETROIT, MI 48221-2763
(313) 862-8800
(313) 862-8803

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
5301011006
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2043565
PK
Enumeration date
01/02/2008
Last updated
04/20/2017
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