Organization
MD ROYAL PHARMACY INC
Active
Organization
MD ROYAL PHARMACY INC
Active
Other names
MD ROYAL PHARMACY, INC
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMAD DAKDOUK RPH, PHARM D (OWNER, PIC, AO)
(734) 288-3588
Entity
Organization
Contact information
Practice address
12866 FORT ST, SOUTHGATE, MI 48195-1060
(734) 288-3588
(734) 288-3610
Mailing address
12866 FORT ST, SOUTHGATE, MI 48195-1060
(734) 288-3588
(734) 288-3610
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301011061
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166371
PK
—
05
—
5301011061
—
MI
Enumeration date
11/18/2016
Last updated
07/19/2018
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