| NPI | 1972741262 |
|---|---|
| Doing Business As | LEVAN MEDICAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MUSTAPHA HUSSEIN Member 734-462-8005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301009050) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2010-04-23 |