Organization · Type 2 NPI

Isidro II Inc

Clinic Pharmacy · Canton, MI

NPI number 1265099600 Active

Practice location

7288 N Sheldon Rd Ste A
Canton, MI 48187-2150

Call (734) 812-9129 Map

Fax (734) 629-1717

Mailing address

PO Box 871819
Canton, MI 48187-7519

Specialties and licenses

Taxonomy	Code	License
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	1835P0018X	None listed
Health Service Clinic/Center	261QH0100X	None listed
Pharmacy	333600000X	None listed
Clinic Pharmacy Primary	3336C0002X	None listed
Community/Retail Pharmacy	3336C0003X	None listed

Clinic Pharmacy: A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

7 other providers at this address

NPI record

NPI: 1265099600
Entity type: Organization (Type 2)
Issued: May 21, 2019
Last updated: Jun 1, 2022
Status: Active
Subpart: Yes of Isidro II Inc

Other names

<unavail>
University Pharmacy · doing business as
University Pharmacy · doing business as

Authorized official

Maria Christina Young
President
(734) 812-9129

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1265099600

Isidro II Inc's National Provider Identifier is 1265099600, issued on May 21, 2019. The primary taxonomy on file is Clinic Pharmacy (3336C0002X), and the practice location is in Canton, MI. The record was last updated on Jun 1, 2022.