Provider Demographics
NPI:1104413095
Name:HEALING HANDS PHARMACY LLC
Entity type:Organization
Organization Name:HEALING HANDS PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:
Authorized Official - First Name:AISHA
Authorized Official - Middle Name:SHAMIM
Authorized Official - Last Name:HASHMI
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:734-353-3670
Mailing Address - Street 1:9731 HARPER AVE
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48213-2700
Mailing Address - Country:US
Mailing Address - Phone:313-571-3606
Mailing Address - Fax:313-821-4445
Practice Address - Street 1:9731 HARPER AVE
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48213-2700
Practice Address - Country:US
Practice Address - Phone:313-571-3606
Practice Address - Fax:313-821-4445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-24
Last Update Date:2020-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy