Provider Demographics
NPI:1588913370
Name:VENOY RX LLC
Entity type:Organization
Organization Name:VENOY RX LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FATEN
Authorized Official - Middle Name:ZAKI
Authorized Official - Last Name:MACHAIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-438-6222
Mailing Address - Street 1:4515 S TELEGRAPH RD
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48125-1934
Mailing Address - Country:US
Mailing Address - Phone:313-438-6222
Mailing Address - Fax:313-438-0175
Practice Address - Street 1:4515 S TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:DEARBORN HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48125-1934
Practice Address - Country:US
Practice Address - Phone:313-438-6222
Practice Address - Fax:313-438-0175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-07
Last Update Date:2018-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53010097723336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy