NPI 1174965537

Ella Pharmacy LLC

Organisation Community/Retail Pharmacy Clinton Township, MI

Practice location

Address: 42645 Garfield Rd STE 102, Clinton Township, MI 48038-5022
Phone: (586) 416-1100
Fax: (586) 416-1101

Authorised official

Name: Jinan Harkous
Title: Pharmacist
Phone: (248) 722-0440

Registered specialties

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 5301010142 (MI)

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Registry record

NPI: 1174965537
Entity type: Organization
NPI issued: 25 Jul 2013
Record last updated: 14 Aug 2013

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.