Organization
MHP PHARMACY WAYNE LLC
Active
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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