Provider Demographics
NPI:1942561170
Name:UNITED PHARMACY III ENTERPRISES
Entity Type:Organization
Organization Name:UNITED PHARMACY III ENTERPRISES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:FATEMA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAGHIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-277-8800
Mailing Address - Street 1:22228 VAN BORN RD
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48125-2573
Mailing Address - Country:US
Mailing Address - Phone:313-277-8800
Mailing Address - Fax:313-277-8801
Practice Address - Street 1:22228 VAN BORN RD
Practice Address - Street 2:
Practice Address - City:DEARBORN HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48125-2573
Practice Address - Country:US
Practice Address - Phone:313-277-8800
Practice Address - Fax:313-277-8801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-05
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5301009789333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy