OrganizationActive
12 Mile Road Pharmacy LLC
NPI 1275170441 · Community/Retail Pharmacy · Berkley, MI
Provider details
- NPI number
- 1275170441
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Authorized official
- Evan Johnson, Owner
Mailing address
3348 12 Mile Rd
Berkley, MI 48072-1344
Registry dates
- Enumerated
- 2019-12-05
- Last updated
- 2021-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.