Organization
PARK SPECIALTY SERVICES LLC
Active
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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