Organization
KRX PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH JAAFAR (AUTHORIZED AGENT)
(734) 427-2850
Entity
Organization
Contact information
Practice address
32932 WARREN RD STE C, WESTLAND, MI 48185-3095
(734) 427-2850
(734) 427-3428
Mailing address
32932 WARREN RD STE C, WESTLAND, MI 48185-3095
(734) 427-2850
(734) 427-3428
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588220297
—
MI
Enumeration date
05/17/2019
Last updated
04/10/2023
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