Provider Demographics
NPI:1619339405
Name:NOUR PHARMACY LLC
Entity Type:Organization
Organization Name:NOUR PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RPH, OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HUSSEIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:ALZAGHIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-581-6500
Mailing Address - Street 1:6500 SCHAEFER RD
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-1813
Mailing Address - Country:US
Mailing Address - Phone:313-581-6500
Mailing Address - Fax:313-581-8500
Practice Address - Street 1:6500 SCHAEFER RD
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-1813
Practice Address - Country:US
Practice Address - Phone:313-581-6500
Practice Address - Fax:313-581-8500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-22
Last Update Date:2023-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI7568650001Medicare NSC