Organization
WASHTENAW MEDICAL PHARMACY LLC
Active
Organization
WASHTENAW MEDICAL PHARMACY LLC
Active
Other names
Central Pharmacy - Patient Care
Organization subpart
No
Provider details
NPI number
Authorized official
KINGSLEY ABOAGYE PHARM.D (OWNER)
(517) 402-8256
Entity
Organization
Contact information
Practice address
3955 PATIENT CARE DR, LANSING, MI 48911-4299
(517) 393-1000
(517) 393-1018
Mailing address
3955 PATIENT CARE DR, LANSING, MI 48911-4299
(517) 393-1000
(517) 393-1018
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301008790
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2043623
PK
—
05
—
2370790
—
MI
Enumeration date
09/05/2007
Last updated
11/01/2025
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