Medpark Rx Pharmacy

LBN: Ez Rx Llc
Medpark Rx Pharmacy is an health care organization with primary practice located at 1059 E 9 Mile Road , Hazel Park MI 48030-1855. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Ez Rx Llc can be contacted via phone (248) 850-7196, or through Jariwala, Sameer M via phone (248) 808-6929.

Contact Information

Primary practice address
1059 E 9 Mile Road Hazel Park MI 48030-1855
Phone: (248) 850-7196
Fax: (248) 850-7081
Website:
Map and Directions
Authorized official contact:
Name: Jariwala, Sameer M
Phone: (248) 808-6929

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301009991 Michigan
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1104136605
LBN Legal business name Ez Rx Llc
DBA Doing business as Medpark Rx Pharmacy
Authorized official Jariwala, Sameer M
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2010
Last updated Apr 20th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104136605 NPPES
Michigan MEDICAID 1104136605

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