Organization
PRO CARE PHARMACY LLC
Active
Other names
PRO CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED SOHOUBAH (PRESIDENT)
(313) 467-4164
Entity
Organization
Contact information
Practice address
6468 GREENFIELD RD, DEARBORN, MI 48126-2061
(313) 582-0600
(313) 582-0606
Mailing address
6468 GREENFIELD RD, DEARBORN, MI 48126-2061
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
5310100867
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2370562
OTHER ID NUMBER
—
Enumeration date
01/02/2008
Last updated
01/02/2008
About Stedi
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