Provider Demographics
NPI:1578209102
Name:RIGHT MED PHARMACY, LLC
Entity Type:Organization
Organization Name:RIGHT MED PHARMACY, LLC
Other - Org Name:RIGHT MED PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PIC
Authorized Official - Prefix:
Authorized Official - First Name:ALI
Authorized Official - Middle Name:M
Authorized Official - Last Name:FAKIH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-434-2448
Mailing Address - Street 1:2287 ELLSWORTH RD STE A
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-4805
Mailing Address - Country:US
Mailing Address - Phone:734-434-2448
Mailing Address - Fax:734-434-2458
Practice Address - Street 1:303 S MAIN ST STE 100
Practice Address - Street 2:
Practice Address - City:MISHAWAKA
Practice Address - State:IN
Practice Address - Zip Code:46544-2159
Practice Address - Country:US
Practice Address - Phone:574-383-5911
Practice Address - Fax:574-383-5912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-06
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN300059792Medicaid