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WATERFORD MEDICAL PHARMACY INC NPI 1093726507


NPI Information

NPI: 1093726507
Provider Name: WATERFORD MEDICAL PHARMACY INC

Doing Business As: WATERFORD MEDICAL PHARMACY INC

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
3560 PONTIAC LAKE RD
WATERFORD, MI
ZIP 48328
Phone: (248) 674-4853
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WATERFORD MEDICAL PHARMACY INC is a community/retail pharmacy pharmacy in Waterford, MI. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. WATERFORD MEDICAL PHARMACY INC NPI is 1093726507. The provider is registered as an organization entity type.
The provider Is Doing Business As Waterford Medical Pharmacy Inc.

The provider's business location address is:

3560 PONTIAC LAKE RD
WATERFORD, MI
ZIP 48328-337
Phone: (248) 674-4853
Fax: (248) 674-3356

The provider's authorized official is Howard Garvin .
The authorized official title is President and has the following contact phone number (248) 674-4853.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 10/19/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy5301003530MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12329351MEDICAIDMICHIGAN
22329351OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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