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Contact Information

CROWN SPECIALTY PHARMACY LLC
24401 PLYMOUTH RD
REDFORD CHARTER TOWNSHIP, MI48239-1616
 Phone: 313-532-3784
 Fax: 313-532-3718
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CROWN SPECIALTY PHARMACY LLC

NPI Number 1184750713
LBN Legal business name CROWN SPECIALTY PHARMACY LLC
Authorized official ALI FAKIH - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/26/2007
Last updated 08/25/2025 - About 9 months ago
Identifiers
MI License # 5301010295
MI Medicaid 2346802
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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