Organization
MADHUSUDAN INC
Active
Other names
HIGHLAND PARK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
VINOD PATEL (PRESIDENT)
(586) 582-0700
Entity
Organization
Contact information
Practice address
28001 SCHOENHERR RD, STE 1, WARREN, MI 48088-4396
(586) 582-0700
(586) 582-1315
Mailing address
PO BOX 87451, CANTON, MI 48187-0451
(586) 582-0700
(586) 582-1315
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301008777
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2370980
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/21/2008
Last updated
10/14/2010
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