Organization
CANTON PHARMACY GROUP, INC
Active
Other names
CHERRY OAK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NABIL KHALEK PHARM.D (OWNER)
(734) 404-0159
Entity
Organization
Contact information
Practice address
42468 CHERRY HILL RD, CANTON, MI 48187-3401
(734) 404-0159
(734) 404-0157
Mailing address
42468 CHERRY HILL RD, CANTON, MI 48187-3401
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
MI
3336C0003X
Community/Retail Pharmacy
Primary
5301008205
MI
3336C0004X
Compounding Pharmacy
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2367591
OTHER ID NUMBER
—
05
—
2367591
—
MI
Enumeration date
08/03/2006
Last updated
03/12/2025
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