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KC PHARMA LLC NPI 1578086815


NPI Information

NPI: 1578086815
Provider Name: KC PHARMA LLC

Doing Business As: RAY'S DRUGS LTC

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

CLIA Number: 23D2184876

Address:
37672 PROFESSIONAL CENTER DR STE 130B
LIVONIA, MI
ZIP 48154
Phone: (734) 432-2015
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KC PHARMA LLC is a long term care pharmacy pharmacy in Livonia, MI. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. KC PHARMA LLC NPI is 1578086815. The provider is registered as an organization entity type.
The provider Is Doing Business As Ray's Drugs Ltc.

The provider's business location address is:

37672 PROFESSIONAL CENTER DR STE 130B
LIVONIA, MI
ZIP 48154-140
Phone: (734) 432-2015
Fax: (734) 432-2016

The provider's authorized official is Khalil Chahine .
The authorized official title is Owner and has the following contact phone number (734) 432-2015.

The CLIA number assigned to this NPI record is 23D2184876 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/19/2017 and was last updated on 10/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacy5301010939MICHIGANNo
23336L0003XPharmacyLong Term Care Pharmacy5301010939MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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