Organization
PARKVIEWRX MICHIGAN LLC
Active
Other names
Matrix VIP Michigan
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN WACLAWEK (COO)
(716) 876-2323
Entity
Organization
Contact information
Practice address
211 N SHIAWASSEE ST, CORUNNA, MI 48817-1444
(989) 720-4295
Mailing address
3920 MAIN ST STE 100, BUFFALO, NY 14226-3350
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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