Organization
LEVAN MEDICAL PHARMACY LLC
Active
Organization
LEVAN MEDICAL PHARMACY LLC
Active
Other names
Levan Medical Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MUSTAPHA HUSSEIN RPH (MEMBER)
(734) 462-8005
Entity
Organization
Contact information
Practice address
15132 LEVAN RD, STE 32, LIVONIA, MI 48154-5027
(734) 462-8005
(734) 462-8009
Mailing address
15132 LEVAN RD, STE 32, LIVONIA, MI 48154-5027
(734) 462-8005
(734) 462-8009
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301009050
MI
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2372376
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/26/2009
Last updated
04/23/2010
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