Organization
PAR WICK PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALI JAMIL FAKIH RPH (OWNER)
(313) 292-3750
Entity
Organization
Contact information
Practice address
22350 WICK RD, TAYLOR, MI 48180-3607
(313) 292-3750
(313) 292-4933
Mailing address
22350 WICK RD, TAYLOR, MI 48180-3607
(313) 292-3750
(313) 292-4933
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301010518
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5301010518
STATE PHARMACY LICENSE
MI
01
—
5315067438
STATE CONTROLLED SUBSTANCE PHARMACY LICENSE
MI
Enumeration date
08/18/2014
Last updated
12/12/2023
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