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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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