Organization
PARK MEDICAL RX LLC
Active
Organization
PARK MEDICAL RX LLC
Active
Other names
Park Medical Rx LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MAITHAM ALSHARIFI (PHARMACIST)
(313) 930-2185
Entity
Organization
Contact information
Practice address
20720 PLYMOUTH RD, DETROIT, MI 48228-1275
(313) 651-5887
(313) 651-5889
Mailing address
20720 PLYMOUTH RD, DETROIT, MI 48228-1275
(313) 651-5887
(313) 651-5889
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301010727
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2154994
PK
—
Enumeration date
09/29/2015
Last updated
03/02/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up