Organization
SIX MILE MEDICAL PHARMACY, LLC
Active
Other names
PHARMOR PHARMACY - SIX MILE
Organization subpart
No
Provider details
NPI number
Authorized official
HAMDAN ALYAEISHI RPH (PHARMACY OWNER)
(313) 635-2788
Entity
Organization
Contact information
Practice address
10420 W MCNICHOLS RD STE A, DETROIT, MI 48221-2356
(313) 635-2788
(313) 635-2789
Mailing address
10420 W MCNICHOLS RD STE A, DETROIT, MI 48221-2356
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
12/08/2019
Last updated
11/04/2021
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