Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

12 Mile Road Pharmacy LLC

Organization Community/Retail Pharmacy · NPI 1275170441

12 Mile Road Pharmacy LLC is a Community/Retail Pharmacy in Berkley, Michigan. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3348 12 Mile Rd
Berkley, MI 48072-1344
Phone: (248) 677-3584
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X

Record details

NPI number1275170441
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Evan Johnson — Owner · (248) 677-3584
NPI enumeratedDecember 5, 2019
Last updated in NPPESMarch 18, 2021
Certification dateMarch 18, 2021
Mailing address3348 12 Mile Rd, Berkley, MI 48072-1344

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