Provider Demographics
NPI:1669023511
Name:MCARE PHARMACY
Entity Type:Organization
Organization Name:MCARE PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:SANEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-846-8569
Mailing Address - Street 1:23800 FORD RD
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48127-3200
Mailing Address - Country:US
Mailing Address - Phone:734-846-8569
Mailing Address - Fax:
Practice Address - Street 1:23800 FORD RD
Practice Address - Street 2:
Practice Address - City:DEARBORN HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48127-3200
Practice Address - Country:US
Practice Address - Phone:734-846-8569
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-23
Last Update Date:2019-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy