Organization
MEDPRO PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZAMAN ALSHAFEY RPH (OWNER, PIC, AO)
(734) 855-4700
Entity
Organization
Contact information
Practice address
15580 MIDDLEBELT RD, LIVONIA, MI 48154-3808
(734) 855-4700
(734) 855-4701
Mailing address
15580 MIDDLEBELT RD, LIVONIA, MI 48154-3808
(734) 855-4700
(734) 855-4701
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301011053
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166998
PK
—
Enumeration date
07/05/2016
Last updated
11/19/2019
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