Organization
TROY PROFESSIONAL PHARMACY INC
Active
Other names
TROY PROFESSIONAL PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
ZBIGNIEW MARTUSIEWICZ (PRESIDENT OWNER)
(248) 689-0200
Entity
Organization
Contact information
Practice address
2891 E MAPLE RD, STE 105, TROY, MI 48083-6106
(248) 689-0200
(248) 689-0221
Mailing address
2891 E MAPLE RD, STE 105, TROY, MI 48083-6106
(248) 689-0200
(248) 689-0221
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301008125
MI
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2041905
PK
—
05
—
2367123
—
MI
05
—
4837844
—
MI
Enumeration date
06/22/2006
Last updated
07/14/2016
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