Organization
VGW LLC
Active
Other names
Park Pharmacy #2
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GHADA ABDALLAH RPH (OWNER)
(313) 622-7465
Entity
Organization
Contact information
Practice address
20225 E 9 MILE RD, SUITE 100, SAINT CLAIR SHORES, MI 48080-1775
(586) 285-9600
(586) 285-9604
Mailing address
20225 E 9 MILE RD, SUITE 100, SAINT CLAIR SHORES, MI 48080-1775
(586) 285-9600
(586) 285-9604
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301009571
MI
Other
Enumeration date
05/03/2011
Last updated
01/31/2013
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