Organization
HENR Y FORD HEALTH SYSTEM
Active
Other names
Henry Ford Pharmacy MGM
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA BARILE (IT SUPERVISOR)
(248) 723-0291
Entity
Organization
Contact information
Practice address
1777 3RD. AVE, DETROIT, MI 48226
(313) 456-9380
(313) 447-1062
Mailing address
30100 TELEGRAPH RD STE 200, BINGHAM FARMS, MI 48025-4516
(248) 723-0291
(248) 642-6094
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
655
CHAIN CODE
MI
01
—
904
CHAIN CODE GNPPN
MI
Enumeration date
10/21/2019
Last updated
10/21/2019
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