Organization
PARKWOOD PHARMACY LLC
Active
Other names
PARKWOOD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN FELKEY RPH (CO OWNER)
(616) 669-3657
Entity
Organization
Contact information
Practice address
1106 BURTON ST SW, WYOMING, MI 49509-1435
(616) 245-2463
(616) 245-2163
Mailing address
1106 BURTON ST SW, WYOMING, MI 49509-1435
(616) 245-2463
(616) 245-2163
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301008145
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2041918
PK
—
05
—
2367250
—
MI
Enumeration date
09/12/2006
Last updated
12/22/2016
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