Organization
MARSHALL FAMILY PHARMACY LLC
Active
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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