Westside Pharmacy Of Detroit, Inc

LBN: Westside Pharmacy Of Detroit, Inc
Westside Pharmacy Of Detroit, Inc is an health care organization with primary practice located at 10600 W Mcnichols Rd , Detroit MI 48221-2366. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Westside Pharmacy Of Detroit, Inc can be contacted via phone (313) 342-1555, or through Gray, Renardo via phone (313) 342-1555.

Contact Information

Primary practice address
10600 W Mcnichols Rd Detroit MI 48221-2366
Phone: (313) 342-1555
Fax: (313) 342-2120
Website:
Map and Directions
Authorized official contact:
Name: Gray, Renardo R.PH.
Phone: (313) 342-1555

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 004296 Michigan

Profile Details

NPI number 1427050129
LBN Legal business name Westside Pharmacy Of Detroit, Inc
DBA Doing business as
Authorized official Gray, Renardo R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2005
Last updated Mar 3rd, 2009 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1427050129 NPPES
Michigan MEDICAID 1978150
Michigan MEDICAID 1685936

Popular Providers