Organization
EXCEL PHARMACY LLC
Active
Other names
EXCEL PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
EDDY AOUN PHARMD (OWNER AND PHARMACIST)
(313) 308-4500
Entity
Organization
Contact information
Practice address
17731 E WARREN AVE, DETROIT, MI 48224-1329
(313) 308-4500
(866) 299-8907
Mailing address
17731 E WARREN AVE, DETROIT, MI 48224-1329
(313) 308-4500
(866) 299-8907
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301008452
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2368620
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/20/2006
Last updated
06/07/2011
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