Organization
HENRY FORD ALLEGIANCE PHARMACY
Active
Organization
HENRY FORD ALLEGIANCE PHARMACY
Active
Other names
HENRY FORD ALLEGIANCE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ONDREA BATES (SVP-OPS/CONTIN OF CARE)
(517) 205-7201
Entity
Organization
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 205-4907
(517) 205-5947
Mailing address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 205-4907
(517) 205-5947
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301010159
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2142662
PK
—
01
—
MI6500
PTAN
MI
Enumeration date
10/30/2013
Last updated
09/24/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up