Organization
MATA-5 INC.
Active
Organization
MATA-5 INC.
Active
Other names
Devz Pharmacy II
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WASHDEV S MATA RPH (CEO)
(734) 335-6312
Entity
Organization
Contact information
Practice address
6624 N CANTON CENTER RD, CANTON, MI 48187-1651
(734) 335-6312
(313) 202-8233
Mailing address
PO BOX 871249, CANTON, MI 48187-6249
(734) 335-6312
(313) 202-8233
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301010140
MI
Other
Enumeration date
07/24/2013
Last updated
12/16/2014
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