Provider Demographics
NPI:1255069076
Name:YEMEN CARE PHARMACY LLC
Entity type:Organization
Organization Name:YEMEN CARE PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BAKEAL
Authorized Official - Middle Name:ABDO
Authorized Official - Last Name:ELJAHMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-558-2121
Mailing Address - Street 1:9222 JOSEPH CAMPAU ST
Mailing Address - Street 2:
Mailing Address - City:HAMTRAMCK
Mailing Address - State:MI
Mailing Address - Zip Code:48212-4059
Mailing Address - Country:US
Mailing Address - Phone:313-558-2121
Mailing Address - Fax:313-558-2020
Practice Address - Street 1:9222 JOSEPH CAMPAU ST
Practice Address - Street 2:
Practice Address - City:HAMTRAMCK
Practice Address - State:MI
Practice Address - Zip Code:48212-4059
Practice Address - Country:US
Practice Address - Phone:313-558-2121
Practice Address - Fax:313-558-2020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-10
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy