Organization
MHP PHARMACY WAYNE LLC
Active
Other names
MHP PHARMACY WAYNE
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY MARGOLIS (PRESIDENT)
(248) 551-2446
Entity
Organization
Contact information
Practice address
35540 W MICHIGAN AVE, WAYNE, MI 48184-1626
(734) 329-5242
(734) 728-3141
Mailing address
35540 W MICHIGAN AVE, WAYNE, MI 48184-1626
(734) 329-5242
(734) 728-3141
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301010218
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2142653
PK
—
Enumeration date
10/29/2013
Last updated
08/12/2016
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