Palmer LTC Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

PALMER LTC PHARMACY LLC

Practice address

4020 Venoy Rd Ste 900B
Wayne, MI 48184-4818

Phone

(313) 438-5157

NPI assigned

Dec 7, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Chawki M Fakih

Title

Pharmacist Is Charge

Phone

(313) 438-1078

Specialties & licenses 1

Addresses

Other names 1

• PALMER LTC PHARMACY LLC Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1544140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544140800000",
    "number": "1194296707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 VENOY RD STE 900B",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841869",
            "telephone_number": "313-438-5157",
            "fax_number": "616-825-6237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 VENOY RD STE 900B",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481844818",
            "telephone_number": "313-438-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMER LTC PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-07",
        "last_updated": "2018-12-07",
        "status": "A",
        "authorized_official_last_name": "FAKIH",
        "authorized_official_first_name": "CHAWKI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHARMACIST IS CHARGE",
        "authorized_official_telephone_number": "313-438-1078"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PALMER LTC PHARMACY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melia Osmulski
• Randi Oswald, LMT
• Matthew J Ouellette, DO
• Erma Owens, R.N
• Sridhar Pakiru, PHYSICAL THERAPIST
• Richard Pancioli, LLP
• Doreen Doplayna Papa
• Mariela Louise Aguas Paras, RPT
• Robert German Paris, D.O.
• Dennis E Paryaski, TLLP

• Long Term Care Pharmacy in Wayne, MI
• Providers in Wayne, MI by specialty
• Long Term Care Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.