DETROIT COMMUNITY HEALTH CONNECTION NPI 1679737480

NPI Information

DETROIT COMMUNITY HEALTH CONNECTION is a clinic pharmacy pharmacy in Detroit, MI. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. DETROIT COMMUNITY HEALTH CONNECTION NPI is 1679737480. The provider is registered as an organization entity type.
The provider Is Doing Business As Detroit Community Health Connection Pharmacy.

The provider's business location address is:

7900 KERCHEVAL ST
DETROIT, MI
ZIP 48214-439
Phone: (313) 924-9798
Fax: (313) 924-6244

The provider's authorized official is Wayne W Bradley .
The authorized official title is President & Ceo and has the following contact phone number (313) 343-2891.

The enumeration date for this NPI number is 7/11/2008 and was last updated on 3/22/2019.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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