Organization
MDK GROUP INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SELASSIE (MANAGER)
(267) 787-5210
Entity
Organization
Contact information
Practice address
5601 VINE ST # C2, PHILADELPHIA, PA 19139-1306
(267) 787-5210
(267) 787-5264
Mailing address
5601 VINE ST # C2, PHILADELPHIA, PA 19139-1306
(267) 787-5210
(267) 787-5264
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP482477
PA
Other
Enumeration date
09/09/2014
Last updated
12/30/2015
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