Provider Demographics
NPI:1912437351
Name:COMMERCE FAMILY PHARMACY, LLC
Entity type:Organization
Organization Name:COMMERCE FAMILY PHARMACY, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HUSSEIN
Authorized Official - Middle Name:
Authorized Official - Last Name:EL-ALIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-587-9294
Mailing Address - Street 1:2549 UNION LAKE RD
Mailing Address - Street 2:
Mailing Address - City:COMMERCE TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48382-3555
Mailing Address - Country:US
Mailing Address - Phone:248-779-7825
Mailing Address - Fax:248-366-4773
Practice Address - Street 1:2549 UNION LAKE RD
Practice Address - Street 2:
Practice Address - City:COMMERCE TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48382-3555
Practice Address - Country:US
Practice Address - Phone:248-779-7825
Practice Address - Fax:248-366-4773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy