Organization
BROTHERHOOD INC
Active
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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