Organization
ACE HEALTHCARE PLLC
Active
Other names
Young Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA YOUNG (PHARMACIST/PRESIDENT)
(313) 324-8563
Entity
Organization
Contact information
Practice address
79 W ALEXANDRINE ST, SUITE LL, DETROIT, MI 48201-2015
(313) 324-8563
(313) 833-3874
Mailing address
79 W ALEXANDRINE ST, SUITE LL, DETROIT, MI 48201-2015
(313) 324-8563
(313) 833-3874
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301009797
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2376463
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/13/2012
Last updated
07/23/2012
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