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Contact Information

MYA PHARMACY LLC
25150 FORD ROAD
SUITE 120
DEARBORN HEIGHTS, MI48127-3115
 Phone: 313-277-4044
 Fax: 313-277-4045
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MYA PHARMACY LLC

NPI Number 1265869309
LBN Legal business name MYA PHARMACY LLC
Authorized official MONA FAKIH - (OWNER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/03/2013
Last updated 10/03/2013 - About 13 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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