Organization
FAKIH PHARMACY INC
Active
Organization
FAKIH PHARMACY INC
Active
Other names
TRUDELL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAYTHAM FAKIH RPH (OWNER)
(313) 581-2424
Entity
Organization
Contact information
Practice address
5711 SCHAEFER RD, DEARBORN, MI 48126
(313) 581-2424
(313) 581-2193
Mailing address
5711 SCHAEFER RD, DEARBORN, MI 48126
(313) 581-2424
(313) 581-2193
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2307165
NCPDP
MI
01
—
540H20857
BCBSM DME
MI
05
—
873263239
—
MI
Enumeration date
09/25/2006
Last updated
12/14/2015
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