Organization
CHILDRENS HOSPITAL OF MICHIGAN
Active
Other names
DMC Pharmacy-Childrens Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BACH PHARMD (EXECUTIVE DIRECTOR OF PHARMACY SERV)
(313) 745-4151
Entity
Organization
Contact information
Practice address
3901 BEAUBIEN BLVD, ROOM 108, DETROIT, MI 48201-2119
(313) 745-1699
(313) 745-1170
Mailing address
3901 BEAUBIEN BLVD, ROOM 108, DETROIT, MI 48201-2119
(313) 745-1699
(313) 745-1170
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301007841
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2365535
—
MI
Enumeration date
04/07/2006
Last updated
08/22/2020
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