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MAPLE PHARMACY INC. NPI 1356760730


NPI Information

NPI: 1356760730
Provider Name: MAPLE PHARMACY, INC.
Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
5829 W MAPLE RD STE 129
WEST BLOOMFIELD, MI
ZIP 48322
Phone: (248) 757-2503
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MAPLE PHARMACY, INC. is a community/retail pharmacy pharmacy in West Bloomfield, 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. MAPLE PHARMACY, INC. NPI is 1356760730. The provider is registered as an organization entity type.

The provider's business location address is:

5829 W MAPLE RD STE 129
WEST BLOOMFIELD, MI
ZIP 48322-294
Phone: (248) 757-2503
Fax: (248) 757-2847

The provider's authorized official is Hengameh Khaledi .
The authorized official title is President and has the following contact phone number (248) 757-2503.

The enumeration date for this NPI number is 4/14/2014 and was last updated on 11/5/2014.


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
1333600000XPharmacy5301010400MICHIGANNo
23336S0011XPharmacySpecialty Pharmacy5301010400MICHIGANNo
3332B00000XDurable Medical Equipment & Medical Supplies5301010400MICHIGANNo
43336C0003XPharmacyCommunity/Retail Pharmacy5301010400MICHIGANYes

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
17211550001MEDICARE NSCMICHIGAN

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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