Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Avicenna Pharmacy LLC

Organization Community/Retail Pharmacy · NPI 1942953112

Avicenna Pharmacy LLC is a Community/Retail Pharmacy in Hamtramck, Michigan. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9610 Joseph Campau St
Hamtramck, MI 48212-3440
Phone: (313) 303-7480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X

Record details

NPI number1942953112
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Abatesam Elmathil — Pharmacist In Charge · (313) 986-8150
NPI enumeratedJanuary 28, 2022
Last updated in NPPESNovember 8, 2022
Certification dateNovember 8, 2022
Mailing address9610 Joseph Campau St, Hamtramck, MI 48212-3440

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