Organization
MYKAL DISCOUNT PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL O MADU RPH (PHARMACIST)
(678) 508-2178
Entity
Organization
Contact information
Practice address
16215 LIVERNOIS AVE, DETROIT, MI 48221-3034
(313) 864-7469
(313) 864-7607
Mailing address
16215 LIVERNOIS AVE, DETROIT, MI 48221-3034
(313) 864-7469
(313) 864-7607
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5302037112
MI
Other
Enumeration date
12/16/2009
Last updated
12/16/2009
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