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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