Provider Demographics
NPI:1598224198
Name:MHP PHARMACY OF BLOOMFIELD HILLS LLC
Entity type:Organization
Organization Name:MHP PHARMACY OF BLOOMFIELD HILLS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:MARGOLIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-551-1094
Mailing Address - Street 1:633 SOUTH BLVD E STE 1350
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-5364
Mailing Address - Country:US
Mailing Address - Phone:248-983-5133
Mailing Address - Fax:248-983-5977
Practice Address - Street 1:633 SOUTH BLVD E STE 1350
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-5364
Practice Address - Country:US
Practice Address - Phone:248-983-5133
Practice Address - Fax:248-983-5977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-14
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy