Organization
APOLLO MEDICAL PHARMACY LLC
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up