Organization
NEW SAV MAX PHARMACY
Active
Other names
SAV MAX GLORY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ABDALLA FARAJ (PIC)
(313) 921-1002
Entity
Organization
Contact information
Practice address
9731 HARPER AVE, DETROIT, MI 48213-2700
(313) 921-1002
(313) 921-1025
Mailing address
9731 HARPER AVE, DETROIT, MI 48213-2700
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301008458
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2368721
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/12/2006
Last updated
01/06/2009
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