FA ENTERPRISES INC
15101 Southfield Rd Ste 101
Allen Park, MI 48101
313-928-4922
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers - Pharmacy - | ||
Y | 3336C0003X | Suppliers - Pharmacy | MI | 5301007798 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
2365357 | MI | MEDICAID | |
PK | 2046560 | OTHER |