Whalio Doctors

NPI 1013453950

Abe S Pharmacy LLC

Organisation Community/Retail Pharmacy Warren, MI

Practice location

Address
13760 E 12 Mile Rd STE B, Warren, MI 48088-3751
Phone
(586) 362-8404
Fax
(586) 251-0322

Authorised official

Name
Hussein Mansour
Title
Pic
Phone
(313) 686-8666

Registered specialties (2)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence 5301011084 (MI)
Pharmacy
Suppliers Taxonomy 333600000X

Registry record

NPI
1013453950
Entity type
Organization
NPI issued
17 Jan 2017
Record last updated
22 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.