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Organization

BROTHERHOOD INC

Active
Other names
joy pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MR. AYMAN A FARES RPH (OWNER PHARMACIST)
(734) 266-9018
Entity
Organization

Contact information

Practice address
27543 WARREN RD, GARDEN CITY, MI 48135-2253
(734) 266-9018
(734) 266-9020
Mailing address
27543 WARREN RD, GARDEN CITY, MI 48135-2253
(734) 266-9018
(734) 266-9020

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301007802
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2365597
NCPDP
MI
01
540H222460
BCBSM DME
MI
05
874622493
MI
Enumeration date
08/18/2006
Last updated
10/18/2016
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