Provider Demographics
NPI:1194253195
Name:R K PHARMACY INC
Entity type:Organization
Organization Name:R K PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY OWNER/PHARMACIST IN CHARGE
Authorized Official - Prefix:MR
Authorized Official - First Name:KHODR
Authorized Official - Middle Name:M
Authorized Official - Last Name:BAZZI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:313-414-5507
Mailing Address - Street 1:181 N WAYNE RD
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48185-3624
Mailing Address - Country:US
Mailing Address - Phone:734-589-0400
Mailing Address - Fax:734-329-5460
Practice Address - Street 1:181 N WAYNE RD
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48185-3624
Practice Address - Country:US
Practice Address - Phone:734-589-0400
Practice Address - Fax:734-329-5460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53010111863336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy