Organization
PHARMACHOICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAHMAN ABDO ELMATHIL (OWNER)
(313) 581-6000
Entity
Organization
Contact information
Practice address
15635 W WARREN AVE, DETROIT, MI 48228-3733
(313) 581-6000
(313) 581-6600
Mailing address
15635 W WARREN AVE, DETROIT, MI 48228-3733
(313) 581-6000
(313) 581-6600
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
5301011040
MI
3336L0003X
Long Term Care Pharmacy
Primary
5301011040
MI
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166041
PK
—
Enumeration date
06/21/2016
Last updated
03/13/2025
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