Organization
MILLENNIUM SPECIALTY LTC
Active
Other names
New Millennium Drugs TLC
Organization subpart
No
Provider details
NPI number
Authorized official
MAHMOUD ABDEL-JAWAD (TREASURER)
(248) 906-9797
Entity
Organization
Contact information
Practice address
30141 CHERRY HILL RD, INKSTER, MI 48141
(734) 721-2100
(734) 721-2702
Mailing address
30141 CHERRY HILL RD, INKSTER, MI 48141
(734) 721-2100
(734) 721-2702
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301008540
MI
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2042302
PK
—
05
—
4361646
—
MI
Enumeration date
07/30/2006
Last updated
10/04/2021
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