Organization
DAVOB PHARMACY INC
Active
Other names
DAVOB PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN UZORKA (OWNER/PHARMACIST)
(248) 439-2105
Entity
Organization
Contact information
Practice address
4148 W 12 MILE RD, BERKLEY, MI 48072-1122
(248) 439-2150
(248) 439-2152
Mailing address
4148 W 12 MILE RD, BERKLEY, MI 48072-1122
(248) 439-2150
(248) 439-2152
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301010049
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2377845
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/18/2013
Last updated
02/28/2017
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