Provider Demographics
NPI:1316526262
Name:PARKVIEW PHARMACY LLC
Entity type:Organization
Organization Name:PARKVIEW PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NAJWA
Authorized Official - Middle Name:YEHIA
Authorized Official - Last Name:AOUN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:313-259-0090
Mailing Address - Street 1:670 CHENE ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48207-3979
Mailing Address - Country:US
Mailing Address - Phone:313-259-0090
Mailing Address - Fax:313-331-2001
Practice Address - Street 1:670 CHENE ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48207-3979
Practice Address - Country:US
Practice Address - Phone:313-259-0090
Practice Address - Fax:313-331-2001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-07
Last Update Date:2021-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5315225257OtherPHARMACY LICENSE