Organization
MYKAL DISCOUNT PHARMACY
Active
Organization
MYKAL DISCOUNT PHARMACY
Active
Parent organization
MYKAL DISCOUNT PHARMACY LLC
Other names
n/a
Organization subpart
Yes
Provider details
NPI number
Legal business name
MYKAL DISCOUNT PHARMACY LLC
Authorized official
DR. MICHAEL O MADU MASTERS (PHARMACIST)
(678) 508-2178
Entity
Organization
Contact information
Practice address
1101 E WALTON BLVD, PONTIAC, MI 48340-1591
(678) 508-2178
(313) 864-7607
Mailing address
1101 E WALTON BLVD, PONTIAC, MI 48340-1591
(678) 508-2178
(313) 864-7607
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301009423
MI
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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