Organization
WELLPATH PHARMA
Active
Other names
BELLE ISLE RX LTC
Organization subpart
No
Provider details
NPI number
Authorized official
LAURENA HAZEM CHAHINE (OWNER/PIC)
(313) 200-0200
Entity
Organization
Contact information
Practice address
18505 GRAND RIVER AVE, DETROIT, MI 48223-2318
(313) 200-0200
(313) 200-0222
Mailing address
18505 GRAND RIVER AVE, DETROIT, MI 48223-2318
(313) 200-0200
(313) 200-0222
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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