Organization
PARK SPECIALTY SERVICES LLC
Active
Other names
CHAMPAIGN FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GHADA ABDALLAH RPH (OWNER)
(313) 622-7465
Entity
Organization
Contact information
Practice address
14726 CHAMPAIGN RD, ALLEN PARK, MI 48101-1617
(313) 382-0000
(313) 382-0002
Mailing address
14726 CHAMPAIGN RD, ALLEN PARK, MI 48101-1617
(313) 382-0000
(313) 382-0002
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
5315062632
MI
3336C0003X
Community/Retail Pharmacy
Primary
5301010170
MI
Other
Enumeration date
06/03/2013
Last updated
12/30/2013
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