Provider Demographics
NPI:1528871431
Name:MAPLE CARE PHARMACY LLC
Entity type:Organization
Organization Name:MAPLE CARE PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:SROUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-629-6076
Mailing Address - Street 1:53 W MAPLE RD STE PHARMACY
Mailing Address - Street 2:
Mailing Address - City:CLAWSON
Mailing Address - State:MI
Mailing Address - Zip Code:48017-1109
Mailing Address - Country:US
Mailing Address - Phone:248-629-6076
Mailing Address - Fax:248-629-6069
Practice Address - Street 1:53 W MAPLE RD STE PHARMACY
Practice Address - Street 2:
Practice Address - City:CLAWSON
Practice Address - State:MI
Practice Address - Zip Code:48017-1109
Practice Address - Country:US
Practice Address - Phone:248-629-6076
Practice Address - Fax:248-629-6069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy