WAYNE COUNTY JAIL PHARMACY NPI 1265687883

NPI Information

NPI: 1265687883
Provider Name: WAYNE COUNTY JAIL PHARMACY
Classification: Clinic/Center - 261QP2400X
Entity Type: Organization

Specialization: Prison Health

CLIA Number: 23D1072443

Address:
570 CLINTON ST
JAIL MEDICAL
DETROIT, MI
ZIP 48226
Phone: (313) 224-7912
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WAYNE COUNTY JAIL PHARMACY is a prison health clinic center in Detroit, MI. WAYNE COUNTY JAIL PHARMACY NPI is 1265687883. The provider is registered as an organization entity type.

The provider's business location address is:

570 CLINTON ST
JAIL MEDICAL
DETROIT, MI
ZIP 48226-334
Phone: (313) 224-7912
Fax: (313) 224-0768

The provider's authorized official is John Charles Gawryk .
The authorized official title is Pharmacy Director and has the following contact phone number (313) 224-7912.

The CLIA number assigned to this NPI record is 23D1072443 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/24/2008 and was last updated on 11/24/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2400X	Clinic/Center	Prison Health	5301003163	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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