Organization
MARSHALL FAMILY PHARMACY LLC
Active
Other names
Marshall Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BILAL CHAABAN (OWNER)
(313) 789-5509
Entity
Organization
Contact information
Practice address
25022 W WARREN ST, DEARBORN HEIGHTS, MI 48127-2145
(313) 789-5576
(313) 789-5577
Mailing address
25022 W WARREN ST, DEARBORN HEIGHTS, MI 48127-2145
(313) 789-5509
(313) 789-5676
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301011029
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166142
PK
—
Enumeration date
11/07/2016
Last updated
05/09/2017
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