Organization Name: | HARPER WOODS PHARMACY LLC |
NPI Number: | 1568694784 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TOBORE UGBOSU (OWNER/CHIEF PHARMACIST) |
Mailing Address: | 19700 Kelly Rd Harper Woods |
State: | MI US |
Postal Code: | 482251916 |
Phone Number: | 3132459000 |
Fax Number: | 3132459900 |
NPI Enumeration Date: | 08/21/2009 |
NPI Last Update Date: | 01/31/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3336C0004X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | Compounding Pharmacy |
Taxonomy Definition: | A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner |