<Unavail>

LBN: Abe S Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 13760 E 12 Mile Rd Ste B , Warren MI 48088-3751. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Abe S Pharmacy Llc can be contacted via phone (586) 362-8404, or through Mansour, Hussein via phone (313) 686-8666.

Contact Information

Primary practice address
13760 E 12 Mile Rd Ste B Warren MI 48088-3751
Phone: (586) 362-8404
Fax: (586) 251-0322
Website:
Map and Directions
Authorized official contact:
Name: Mansour, Hussein PHARMD
Phone: (313) 686-8666

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301011084 Michigan

Profile Details

NPI number 1013453950
LBN Legal business name Abe S Pharmacy Llc
DBA Doing business as <Unavail>
Authorized official Mansour, Hussein PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2017
Last updated Jun 22nd, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013453950 NPPES
Michigan MEDICAID 1013453950
Michigan Other 2167138

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