Organization
EZ RX LLC
Active
Other names
MEDPARK RX PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
FAHAD CHUDHRY (MEMBER-PRESIDENT)
(248) 808-6929
Entity
Organization
Contact information
Practice address
1059 E 9 MILE ROAD, HAZEL PARK, MI 48030-1855
(248) 850-7196
(248) 850-7081
Mailing address
1059 E 9 MILE RD, HAZEL PARK, MI 48030-1855
(248) 850-7196
(248) 850-7081
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301009991
MI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104136605
—
MI
Enumeration date
10/18/2010
Last updated
11/10/2025
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