| NPI | 1477990117 |
|---|---|
| Doing Business As | CHAMPAIGN FAMILY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GHADA ABDALLAH Owner 313-622-7465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301010170) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: MI 5315062632) |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2013-12-30 |