Organization
TROY MB PHARMACY INC
Active
Other names
TROY MB PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
ADEL MAKKI PHARM D (OWNER)
(313) 598-3833
Entity
Organization
Contact information
Practice address
35200 DEQUINDRE RD, STE 200, STERLING HEIGHTS, MI 48310-4837
(586) 978-3000
Mailing address
35200 DEQUINDRE RD, STE 200, STERLING HEIGHTS, MI 48310-4837
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301008835
MI
3336L0003X
Long Term Care Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2371386
OTHER ID NUMBER
—
Enumeration date
07/03/2008
Last updated
07/03/2008
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