Provider Demographics
NPI:1700125523
Name:JULIAS FAMILY PHARMACY
Entity Type:Organization
Organization Name:JULIAS FAMILY PHARMACY
Other - Org Name:SAVERX DISCOUNT PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MR.
Authorized Official - Prefix:
Authorized Official - First Name:CHARIFE
Authorized Official - Middle Name:
Authorized Official - Last Name:BAZZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-844-4142
Mailing Address - Street 1:3915 PELHAM ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48125-3118
Mailing Address - Country:US
Mailing Address - Phone:313-551-3547
Mailing Address - Fax:313-551-3758
Practice Address - Street 1:3915 PELHAM ST
Practice Address - Street 2:
Practice Address - City:DEARBORN HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48125-3118
Practice Address - Country:US
Practice Address - Phone:313-551-3547
Practice Address - Fax:313-551-3758
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-14
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5315073618333600000X
3336C0003X, 3336C0004X, 3336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2155087OtherPK