Organization · Type 2 NPI

Amigo LLC

Community/Retail Pharmacy · Detroit, MI

NPI number 1346592920 Active

Practice location

8656 Wyoming St.
Detroit, MI 48204-5216

Call (313) 331-1200 Map

Fax (313) 331-1201

Mailing address

8656 Wyoming St
Detroit, MI 48204

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	5301009913 (MI)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

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NPI record

NPI: 1346592920
Entity type: Organization (Type 2)
Issued: Oct 8, 2012
Last updated: Aug 12, 2021
Status: Active

Other names

<unavail>
Jefferson Pharmacy · doing business as
Jefferson Pharmacy · doing business as

Authorized official

Ahmed Sharaf, PHARM. D.
Pharmacist In Charge/president
(313) 331-1200

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1346592920

Amigo LLC's National Provider Identifier is 1346592920, issued on Oct 8, 2012. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Detroit, MI. The record was last updated on Aug 12, 2021.