Organization
HAMILTON PHARMACY LLC
Active
Other names
HAMILTON PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BASSAM YOUSSEF (OWNER)
(810) 230-8300
Entity
Organization
Contact information
Practice address
915 S DORT HWY, SUITE 2, FLINT, MI 48503-2800
(810) 239-2475
(810) 239-3067
Mailing address
915 S DORT HWY, SUITE 2, FLINT, MI 48503-2800
(810) 239-2475
(810) 239-3067
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301009692
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2376247
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/29/2011
Last updated
07/20/2012
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