Provider Demographics
NPI:1861921918
Name:PHARMA INNOVATIONS
Entity type:Organization
Organization Name:PHARMA INNOVATIONS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YOUSSEF
Authorized Official - Middle Name:
Authorized Official - Last Name:NAIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-217-5454
Mailing Address - Street 1:19070 E 10 MILE RD STE PHARMACY
Mailing Address - Street 2:
Mailing Address - City:EASTPOINTE
Mailing Address - State:MI
Mailing Address - Zip Code:48021-1449
Mailing Address - Country:US
Mailing Address - Phone:586-217-5454
Mailing Address - Fax:586-217-5458
Practice Address - Street 1:19070 E 10 MILE RD STE PHARMACY
Practice Address - Street 2:
Practice Address - City:EASTPOINTE
Practice Address - State:MI
Practice Address - Zip Code:48021-1449
Practice Address - Country:US
Practice Address - Phone:586-217-5454
Practice Address - Fax:586-217-5458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-11
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy