Organization
PURRXPHARMACY
Active
Other names
PureRX Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EYAD KHADR (OWNER)
(844) 714-1207
Entity
Organization
Contact information
Practice address
38300 VAN DYKE AVE STE 102, STERLING HEIGHTS, MI 48312-1176
(844) 714-1207
(844) 714-1208
Mailing address
38300 VAN DYKE AVE STE 102, STERLING HEIGHTS, MI 48312-1176
(844) 714-1207
(844) 714-1208
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5301011250
PHARMACY LICENSE
MI
Enumeration date
09/01/2017
Last updated
07/21/2022
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