Healthcare Provider Details

I. General information

NPI: 1750808564
Provider Name (Legal Business Name): MAPLEVIEW PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2017
Last Update Date: 10/10/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35200 DEQUINDRE RD SUITE # 200
STERLING HEIGHTS MI
48310
US

IV. Provider business mailing address

35200 DEQUINDRE RD STE 200
STERLING HEIGHTS MI
48310-4837
US

V. Phone/Fax

Practice location:
  • Phone: 586-270-5000
  • Fax: 586-270-5001
Mailing address:
  • Phone: 586-270-5000
  • Fax: 586-270-5001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. MUHAMMAD RAMZAN
Title or Position: PHARMACY MANAGER
Credential: RPH
Phone: 586-270-5000