Whalio Doctors

NPI 1093726507

Waterford Medical Pharmacy INC

Organisation Community/Retail Pharmacy Waterford, MI

Practice location

Address
3560 Pontiac Lake Rd, Waterford, MI 48328-2337
Phone
(248) 674-4853
Fax
(248) 674-3356

Authorised official

Name
Howard Garvin
Title
President
Phone
(248) 674-4853

Registered specialties (2)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence 5301003530 (MI)
Pharmacy
Suppliers Taxonomy 333600000X

Registry record

NPI
1093726507
Entity type
Organization
NPI issued
10 Aug 2006
Record last updated
19 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.