Organization
ISIDRO II INC
Active
Organization
ISIDRO II INC
Active
Other names
UNIVERSITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA YOUNG RPH (OWNER, PRES, PIC)
(734) 812-9129
Entity
Organization
Contact information
Practice address
7288 N SHELDON RD STE A, CANTON, MI 48187-2150
(734) 812-9129
(734) 629-1717
Mailing address
PO BOX 871819, CANTON, MI 48187-7519
(734) 812-9129
(734) 629-1717
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301008406
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0P57520
PTAN
MI
01
—
0P60030
MASS IMMUNIZATION
MI
05
—
1295918274
—
MI
05
—
1982884318
—
MI
01
—
2043557
PK
—
Enumeration date
12/12/2007
Last updated
04/30/2025
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