Detroit Pharmacy

LBN: Detroit Pharmacy
Detroit Pharmacy is an health care organization with primary practice located at 18925 Grand River Ave , Detroit MI 48223-2273. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Detroit Pharmacy can be contacted via phone (313) 272-1400, or through Chami, Ibrahim A via phone (734) 262-4600.

Contact Information

Primary practice address
18925 Grand River Ave Detroit MI 48223-2273
Phone: (313) 272-1400
Fax: (313) 272-3816
Website:
Map and Directions
Authorized official contact:
Name: Chami, Ibrahim A RPH
Phone: (734) 262-4600

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301007942 Michigan

Profile Details

NPI number 1932268034
LBN Legal business name Detroit Pharmacy
DBA Doing business as
Authorized official Chami, Ibrahim A RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2006
Last updated Dec 18th, 2007 - about 19 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 1932268034 NPPES
Other 2366107 OTHER ID NUMBER-COMMERCIAL NUMBER
Other 2366107 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 2366107 OTHER ID NUMBER-COMMERCIAL NUMBER

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