Abes Drug Store 102 LLC

Organization Active NPI Long Term Care Pharmacy · Roseville, MI

NPI 1972329985 · NPPES record last updated Nov 25, 2024

Key facts

NPI
1972329985
Entity type
Organization (NPI type 2)
Primary specialty
Long Term Care Pharmacy 3336L0003X
Legal business name
ABES DRUG STORE 102 LLC
Practice address
30695 Little Mack Ave Ste F
Roseville, MI 48066-1771
Phone
(586) 459-0836
Fax
(586) 571-0650
NPI assigned
Nov 25, 2024
Organization subpart
No

Authorized official

Name
Ramzi Kassem, PHARMD
Title
Ceo
Phone
(586) 981-0901

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Abe'S Drug Store (2 organizations share this tax ID)

Locations

13770 E 12 Mile Rd
Warren, MI 48088
Phone (586) 250-2520

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Yes

Addresses

Primary practice location

30695 Little Mack Ave Ste F
Roseville, MI 48066-1771

Mailing address

13770 E 12 Mile Rd
Warren, MI 48088-3751
Phone (586) 459-0836

Other providers in Roseville, MI

All providers in Roseville, MI · Long Term Care Pharmacy in Michigan

Sources for this page

Verify at the official NPI Registry.