Organization
OSAMA PHARMACY INC
Active
Organization
OSAMA PHARMACY INC
Active
Other names
ARBOR LANE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEX M FAKIH RPH (OWNER)
(313) 563-8090
Entity
Organization
Contact information
Practice address
8565 N SILVERY LN STE 404, DEARBORN HEIGHTS, MI 48127-4518
(313) 563-8090
(313) 563-5204
Mailing address
8565 N SILVERY LN STE 404, DEARBORN HEIGHTS, MI 48127-4518
(313) 563-8090
(313) 563-5204
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2360915
NCPDP
MI
01
—
540H217560
BCBSM
MI
05
—
874173969
—
MI
Enumeration date
08/20/2006
Last updated
02/16/2016
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