Matrix Pharmacy Lathrup Village
Pharmacy, Community/Retail Pharmacy in Lathrup Village, MI. Organization (NPI-2).
NPI number1942022447
StatusActive
Last updated in NPPESMar 12, 2026
Details
- NPI
- 1942022447
- Entity type
- Organization (NPI-2)
- Legal business name
- Matrix Pharmacy Lathrup Village
- Organization subpart
- No
- Enumeration date
- Oct 28, 2024
- Certification date
- Mar 12, 2026
- Last updated
- Mar 12, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
Other names
- Matrix Pharmacy Lathrup Village (Doing Business As)
Practice location
26237 Southfield Rd Ste BLathrup Village, MI 48076-4546
Phone 734-945-7506
Mailing address
26237 Southfield Rd Ste BLathrup Village, MI 48076-4546
Phone 734-945-7506
Authorized official
Mohamad Elhajidiab
Pharmacist In Charge
2482345008
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All 7 Community/Retail Pharmacy providers in Lathrup Village · All 276 providers in Lathrup Village
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