# WAYNE COUNTY JAIL PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265687883
- **Authorized official:** MR. JOHN CHARLES GAWRYK RPH (PHARMACY DIRECTOR)
- **Authorized official phone:** (313) 224-7912

## Contact information

- **Practice address:** 570 CLINTON ST, JAIL MEDICAL, DETROIT, MI 48226-2334
- **Practice address phone:** (313) 224-7912
- **Practice address fax:** (313) 224-0768
- **Mailing address:** 570 CLINTON ST, JAIL MEDICAL, DETROIT, MI 48226-2334
- **Mailing address phone:** (313) 224-7912
- **Mailing address fax:** (313) 224-0768

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2400X | Prison Health Clinic/Center | 5301003163 | MI | Yes |

## Other

- **Enumeration date:** 11/24/2008
- **Last updated:** 11/24/2008