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
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