MD ROYAL PHARMACY INC NPI 1437692779

NPI Information

  • NPI: 1437692779
  • Provider Name: MD ROYAL PHARMACY INC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: MD ROYAL PHARMACY, INC
  • Address: 12866 FORT ST
    SOUTHGATE, MI
    ZIP 48195
  • Phone: (734) 288-3588

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NPI Details

MD ROYAL PHARMACY INC is a community/retail pharmacy pharmacy in Southgate, 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. MD ROYAL PHARMACY INC NPI is 1437692779. The provider is registered as an organization entity type.
The provider Is Doing Business As Md Royal Pharmacy, Inc.

The provider's business location address is:

12866 FORT ST
SOUTHGATE, MI
ZIP 48195-060
Phone: (734) 288-3588
Fax: (734) 288-3610

The provider's authorized official is Mohamad Dakdouk .
The authorized official title is Owner, Pic, Ao and has the following contact phone number (734) 288-3588.

The enumeration date for this NPI number is 11/18/2016 and was last updated on 7/19/2018.

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 Pharmacy5301011061MICHIGANYes

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
12166371OTHERPK
25301011061MEDICAIDMICHIGAN

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: 11/21/2025

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