Organization
ELITE ACCESS PHARMACY INC
Active
Other names
Elite access pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TAREK JAWARD (OWNER)
(313) 674-9800
Entity
Organization
Contact information
Practice address
6450 MAPLE ST, DEARBORN, MI 48126-2259
(313) 216-2213
(313) 584-3249
Mailing address
6450 MAPLE ST, DEARBORN, MI 48126-2259
(313) 216-2213
(313) 584-3249
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301010389
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2144354
PK
—
Enumeration date
01/27/2014
Last updated
06/05/2015
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