Organization
UNITED SPECIALTY PHARMACY LLC
Active
Other names
United Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BILAL CHAABAN (OWNER)
(313) 558-9448
Entity
Organization
Contact information
Practice address
25205 TROWBRIDGE ST, DEARBORN, MI 48124-2414
(313) 558-9448
(313) 558-9451
Mailing address
25205 TROWBRIDGE ST, DEARBORN, MI 48124-2414
(313) 558-9448
(313) 558-9451
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
5301010921
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159672
PK
—
Enumeration date
04/19/2016
Last updated
01/21/2022
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