Provider Demographics
NPI:1669673745
Name:A&H PHARMACY SERVICES
Entity Type:Organization
Organization Name:A&H PHARMACY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HASSANE
Authorized Official - Middle Name:I
Authorized Official - Last Name:SHUAYTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-521-7000
Mailing Address - Street 1:15000 GRATIOT AVE
Mailing Address - Street 2:SUITE 140
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48205-1973
Mailing Address - Country:US
Mailing Address - Phone:313-521-7000
Mailing Address - Fax:313-245-1492
Practice Address - Street 1:15000 GRATIOT AVE
Practice Address - Street 2:SUITE 140
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48205-1973
Practice Address - Country:US
Practice Address - Phone:313-521-7000
Practice Address - Fax:313-245-1492
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53010063823336C0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0002XSuppliersPharmacyClinic Pharmacy