Provider Demographics
NPI:1750808564
Name:MAPLEVIEW PHARMACY LLC
Entity type:Organization
Organization Name:MAPLEVIEW PHARMACY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMZAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:586-270-5000
Mailing Address - Street 1:35200 DEQUINDRE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310-4837
Mailing Address - Country:US
Mailing Address - Phone:586-270-5000
Mailing Address - Fax:586-270-5001
Practice Address - Street 1:35200 DEQUINDRE RD
Practice Address - Street 2:SUITE # 200
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310
Practice Address - Country:US
Practice Address - Phone:586-270-5000
Practice Address - Fax:586-270-5001
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MAPLEVIEW PHARMACY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-08-23
Last Update Date:2017-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail PharmacyGroup - Single Specialty