Organization
TROY PROFESSIONAL PHARMACY INC
Active
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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