Organization
EAST VILLAGE PHARMAY INC
Active
Other names
East Village Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HACHMIE ZEIN RPH (PRESIDENT/OWNER/PIC)
(313) 581-4626
Entity
Organization
Contact information
Practice address
5728 SCHAEFER RD, STE 102, DEARBORN, MI 48126-2298
(313) 581-4626
(313) 581-4623
Mailing address
5728 SCHAEFER RD, DEARBORN, MI 48126-2298
(313) 624-3016
(313) 581-4623
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301009315
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2124556
PK
—
Enumeration date
03/22/2010
Last updated
12/23/2015
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