Organization
MEDICAL PARK PHARMACY INC
Active
Other names
MEDICAL PARK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT HARB (PRESIDENT)
(248) 454-6500
Entity
Organization
Contact information
Practice address
359 ENTERPRISE CT, BLOOMFIELD HILLS, MI 48302-1055
(248) 454-6500
(248) 454-6560
Mailing address
359 ENTERPRISE CT, BLOOMFIELD HILLS, MI 48302-1055
(248) 454-6500
(248) 454-6560
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301008514
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2042533
PK
—
Enumeration date
11/08/2006
Last updated
03/28/2023
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