Organization
APOLLO MEDICAL PHARMACY LLC
Active
Other names
PharMor Pharmacy-Evergreen
Organization subpart
No
Provider details
NPI number
Authorized official
ABDO SHOUBAH (OWNER)
(313) 467-4164
Entity
Organization
Contact information
Practice address
20250 W 7 MILE RD, DETROIT, MI 48219-3469
(313) 535-9755
(313) 535-9765
Mailing address
20250 W 7 MILE RD, DETROIT, MI 48219-3469
(313) 535-9755
(313) 535-9765
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301009583
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2375548
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/11/2011
Last updated
11/15/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us