Davob Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301010049 Issued in MI

Legal business name

DAVOB PHARMACY INC

Doing business as

Davob Pharmacy

Practice address

4148 W 12 Mile Rd
Berkley, MI 48072-1122

Phone

(248) 439-2150

Fax

(248) 439-2152

NPI assigned

Mar 18, 2013

Last updated

Feb 28, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maureen Uzorka

Title

Owner/Pharmacist

Phone

(248) 439-2105

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DAVOB PHARMACY Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1083956049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4148 W 12 MILE RD",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721122",
            "telephone_number": "248-439-2150",
            "fax_number": "248-439-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4148 W 12 MILE RD",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721122",
            "telephone_number": "248-439-2150",
            "fax_number": "248-439-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVOB PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-18",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "UZORKA",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "248-439-2105"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2377845",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DAVOB PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Berkley, MI
• Providers in Berkley, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.