Organization
RXTRA SOLUTIONS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAM ALAWIEH PHARM.D. (PRESIDENT/CEO)
(313) 587-8376
Entity
Organization
Contact information
Practice address
18161 W 13 MILE RD STE A1-B, SOUTHFIELD, MI 48076-1113
(313) 587-8376
Mailing address
18161 W 13 MILE RD STE A1-B, SOUTHFIELD, MI 48076-1113
(313) 587-8376
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
5301009248
MI
3336C0002X
Clinic Pharmacy
5301009248
MI
3336C0003X
Community/Retail Pharmacy
5301009248
MI
3336C0004X
Compounding Pharmacy
5301009248
MI
3336M0002X
Mail Order Pharmacy
5301009248
MI
3336S0011X
Specialty Pharmacy
Primary
5301009248
MI
Other
Enumeration date
11/22/2009
Last updated
11/22/2009
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