Provider Demographics
NPI:1053029413
Name:MEADOWBROOK DRUGS INC
Entity type:Organization
Organization Name:MEADOWBROOK DRUGS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LOUBNA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAMI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:248-216-0758
Mailing Address - Street 1:25500 MEADOWBROOK RD STE 160
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-1881
Mailing Address - Country:US
Mailing Address - Phone:248-216-0758
Mailing Address - Fax:248-468-4370
Practice Address - Street 1:25500 MEADOWBROOK RD STE 160
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-1881
Practice Address - Country:US
Practice Address - Phone:248-216-0758
Practice Address - Fax:248-468-4370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-14
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy