Organization
KAKISH PLARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMAL S KAKISH (PRESIDENT)
(313) 582-0100
Entity
Organization
Contact information
Practice address
5050 SCHAEFER RD, DEARBORN, MI 48126-3249
(313) 582-0100
Mailing address
5050 SCHAEFER RD, DEARBORN, MI 48126-3249
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301003631
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2541171
—
MI
Enumeration date
02/09/2007
Last updated
08/22/2020
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