Whalio Doctors

NPI 1477990117

Park Specialty Services LLC

Organisation Community/Retail Pharmacy Allen Park, MI

Practice location

Address
14726 Champaign Rd, Allen Park, MI 48101-1617
Phone
(313) 382-0000
Fax
(313) 382-0002

Authorised official

Name
Ghada Abdallah
Title
Owner
Phone
(313) 622-7465

Registered specialties (2)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence 5301010170 (MI)
Pharmacy
Suppliers Taxonomy 333600000X Licence 5315062632 (MI)

Registry record

NPI
1477990117
Entity type
Organization
NPI issued
3 Jun 2013
Record last updated
30 Dec 2013

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.