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123 Pharmacy LLC — NPI 1376797746, Dearborn Heights, MI | NPI Central

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NPI 1376797746

OrganizationActive

123 Pharmacy LLC

NPI 1376797746 · Community/Retail Pharmacy · Dearborn Heights, MI

Provider details

NPI number: 1376797746
Entity type: Organization
Primary specialty: Community/Retail PharmacySuppliers
Authorized official: Mustapha Hussein, President
License: 5315038557 (MI)

Practice location

24142 W Warren St

Ste A2

Dearborn Heights, MI 48127-2256

Phone: (313) 730-0677

Fax: (313) 730-0670

More MI providers

Mailing address

24142 W Warren St

Dearborn Heights, MI 48127-2256

Registry dates

Enumerated: 2008-11-11
Last updated: 2011-05-02

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.