Individual provider · Type 1 NPI

Beth Maroko, RPH.

Pharmacist · Walled Lake, MI

NPI number 1104192327 Active

Practice location

620 N Pontiac Trl
Walled Lake, MI 48390-3448

Mailing address

6612 Stonebridge E
West Bloomfield, MI 48322-3269

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X5302024222 (MI)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1104192327

Beth Maroko, RPH.'s National Provider Identifier is 1104192327, issued on Apr 2, 2012. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Walled Lake, MI. The record was last updated on Apr 4, 2012.