Detroit Community Health Connection Pharmacy

LBN: Detroit Community Health Connection
Detroit Community Health Connection Pharmacy is an health care organization with primary practice located at 7900 Kercheval St , Detroit MI 48214-2439. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Detroit Community Health Connection can be contacted via phone (313) 924-9798, or through Bradley, Wayne W via phone (313) 343-2891.

Contact Information

Primary practice address
7900 Kercheval St Detroit MI 48214-2439
Phone: (313) 924-9798
Fax: (313) 924-6244
Website:
Map and Directions
Authorized official contact:
Name: Bradley, Wayne W
Phone: (313) 343-2891

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X 5301008896 Michigan

Profile Details

NPI number 1679737480
LBN Legal business name Detroit Community Health Connection
DBA Doing business as Detroit Community Health Connection Pharmacy
Authorized official Bradley, Wayne W
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2008
Last updated Mar 22nd, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679737480 NPPES
Michigan MEDICAID 1679737480
Michigan Other 2116456

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