Organization
NILE FAMILY PHARMACY LLC
Active
Other names
Nile Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AIMAN KAWAS (OWNER)
(269) 683-1400
Entity
Organization
Contact information
Practice address
70 E. STATE ST., NILES, MI 49120
(269) 683-1400
(269) 683-1402
Mailing address
PO BOX 5157, DEARBORN, MI 48128-0157
(269) 683-1400
(269) 683-1402
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301009530
MI
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2129509
PK
—
Enumeration date
03/15/2011
Last updated
07/01/2013
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