Organization
CUSTOMCARE PHARMACY INC
Active
Organization
CUSTOMCARE PHARMACY INC
Active
Other names
CustomCare Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS ZAWAIDEH (OWNER)
(248) 551-8290
Entity
Organization
Contact information
Practice address
3535 W 13 MILE RD, SUITE 124, ROYAL OAK, MI 48073-6770
(248) 551-8290
(248) 551-8253
Mailing address
3535 W 13 MILE RD, SUITE 124, ROYAL OAK, MI 48073-6770
(248) 551-8290
(248) 551-8253
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301009441
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2127657
PK
—
Enumeration date
11/15/2006
Last updated
08/14/2013
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