Organization
WASHINGTON MEDICAL PHARMACY LLC
Active
Organization
WASHINGTON MEDICAL PHARMACY LLC
Active
Other names
Washington Medical Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ALVIN NG PHARMD (PHARMACIST/OWNER)
(313) 808-0506
Entity
Organization
Contact information
Practice address
57850 VAN DYKE RD STE 250, WASHINGTON TOWNSHIP, MI 48094-3826
(586) 992-9600
(586) 992-9611
Mailing address
57850 VAN DYKE RD STE 250, WASHINGTON TOWNSHIP, MI 48094-3826
(586) 992-9600
(586) 992-9611
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301009514
MI
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2374813
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/30/2010
Last updated
03/24/2011
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