Organization
PARK MED PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUDAY MAKI RPH, PH.D (PHARMACIST/OWNER)
(313) 443-1781
Entity
Organization
Contact information
Practice address
15200 GRATIOT AVE, DETROIT, MI 48205-1327
(313) 521-4000
(313) 521-4010
Mailing address
45361 OAK FOREST DR, NORTHVILLE, MI 48168-4440
(313) 443-1781
(313) 521-4010
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301011302
MI
Other
Enumeration date
01/21/2018
Last updated
01/21/2018
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