Gog Pharmacy Pllc
NPI #1154681054 in Melvindale, Michigan
Provider Information
- NPI Number
- 1154681054
- Entity Type
- Organization
- Organization Name
- Gog Pharmacy Pllc
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- May 24, 2012
- Last Updated
- Mar 29, 2016
Practice Location
- Address
- 3600 OAKWOOD BLVD
- City
- Melvindale
- State
- Michigan
- ZIP Code
- 48122-1150
- Phone
- (313) 382-3996
Authorized Official
- Name
- FAUSTINA IROHA
- Title
- OWNER, PIC
- Phone
- (248) 943-1123
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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