Provider Demographics
NPI:1245506476
Name:COMP RX INC
Entity type:Organization
Organization Name:COMP RX INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:BALIGH
Authorized Official - Middle Name:MOHAMMED ALI
Authorized Official - Last Name:AL KAINAEAI
Authorized Official - Suffix:
Authorized Official - Credentials:R PH
Authorized Official - Phone:734-307-7018
Mailing Address - Street 1:18930 WEST RD
Mailing Address - Street 2:
Mailing Address - City:WOODHAVEN
Mailing Address - State:MI
Mailing Address - Zip Code:48183-3317
Mailing Address - Country:US
Mailing Address - Phone:734-307-7018
Mailing Address - Fax:734-307-7215
Practice Address - Street 1:18930 WEST RD
Practice Address - Street 2:
Practice Address - City:WOODHAVEN
Practice Address - State:MI
Practice Address - Zip Code:48183-3317
Practice Address - Country:US
Practice Address - Phone:734-307-7018
Practice Address - Fax:734-307-7215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-02
Last Update Date:2012-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5301009769333600000X
3336C0004X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy