Organization
PCD CORP
Active
Other names
Prestige Drugs Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK PENCAK (PRESIDENT)
(248) 548-9935
Entity
Organization
Contact information
Practice address
20770 GREENFIELD RD, OAK PARK, MI 48237-3018
(248) 548-8985
(248) 548-9935
Mailing address
C/O CHRISTOPHER PENCAK PC, 27322 23 MILE RD, STE 7, CHESTERFIELD, MI 48051
(586) 598-4650
(586) 598-4651
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301009146
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2373239
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/02/2009
Last updated
08/29/2011
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