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MATA-5 INC. NPI 1861834483


NPI Information

NPI: 1861834483
Provider Name: MATA-5 INC.

Doing Business As: DEVZ PHARMACY II

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 23D2074532

Address:
6624 N CANTON CENTER RD
CANTON, MI
ZIP 48187
Phone: (734) 335-6312
Get Directions

MATA-5 INC. is a community/retail pharmacy pharmacy in Canton, MI. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. MATA-5 INC. NPI is 1861834483. The provider is registered as an organization entity type.
The provider Is Doing Business As Devz Pharmacy Ii.

The provider's business location address is:

6624 N CANTON CENTER RD
CANTON, MI
ZIP 48187-651
Phone: (734) 335-6312
Fax: (313) 202-8233

The provider's authorized official is Washdev S Mata .
The authorized official title is Ceo and has the following contact phone number (734) 335-6312.

The CLIA number assigned to this NPI record is 23D2074532 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/24/2013 and was last updated on 12/16/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail Pharmacy5301010140MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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