Organization
PURE LIFE PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMMED IBRAHIM PHARM.D (OWNER/PIC)
(313) 467-0264
Entity
Organization
Contact information
Practice address
1373 DIX HWY, LINCOLN PARK, MI 48146-1346
(313) 467-0264
Mailing address
820 S PEMBERTON RD, BLOOMFIELD, MI 48302-1443
(313) 467-0264
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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