NPI 1124157052

Sav Max Glory #2

Organisation Preferred Provider Organization Highland Park, MI

Practice location

Address: 14100 Woodward Ave, Highland Park, MI 48203-2936
Phone: (313) 252-2400

Authorised official

Name: Mahmoud M Rifai
Title: Pharmacist
Phone: (313) 252-2400

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 5301008585 (MI)

Other Preferred Provider Organization providers in Michigan →

Registry record

NPI: 1124157052
Entity type: Organization
NPI issued: 5 Mar 2007
Record last updated: 22 Aug 2020

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.