Organization
MICHIGAN SPECIALTY PHARMACY LLC
Active
Other names
FRJ FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KHAJA MOHAMMED (OWNER)
(313) 888-9921
Entity
Organization
Contact information
Practice address
9801 CONANT ST STE A, HAMTRAMCK, MI 48212-3308
(313) 467-2130
(989) 755-7993
Mailing address
9801 CONANT ST STE A, HAMTRAMCK, MI 48212-3308
(313) 888-9921
(313) 262-6125
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301009130
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2120572
PK
—
Enumeration date
06/05/2009
Last updated
11/03/2023
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