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Contact Information

ABES DRUG STORE 102 LLC
30695 LITTLE MACK AVE STE F
ROSEVILLE, MI48066-1771
 Phone: 586-459-0836
 Fax: 586-571-0650
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ABES DRUG STORE 102 LLC

NPI Number 1972329985
LBN Legal business name ABES DRUG STORE 102 LLC
Authorized official RAMZI KASSEM - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/25/2024
Last updated 11/25/2024 - More than a year ago
Identifiers n/a
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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