Organization · NPI-2

Henry Ford Health System

Pharmacy, Community/Retail Pharmacy · West Bloomfield, MI

NPI number1891889143
StatusActive
Last updated in NPPESDec 1, 2016

Details

NPI
1891889143
Entity type
Organization (NPI-2)
Legal business name
Henry Ford Health System
Organization subpart
No
Enumeration date
Oct 3, 2006
Last updated
Dec 1, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy5301003200MIYes
333600000X Pharmacy––

Other names

  • Henry Ford Medical Center Pharmacy (Doing Business As)

Practice location

6777 W Maple Rd
West Bloomfield, MI 48322-3013

Phone 248-325-3820 · Fax 248-325-3824

Mailing address

30100 Telegraph Rd
Ste 200
Bingham Farms, MI 48025-4514

Phone 248-325-3820 · Fax 248-325-3824

Authorized official

Daniel Kus
Vp, Pharmacy Services
2486421111

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