Organization
CRYSTAL HOME HEALTHCARE PHCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN ADAMS RPH (PHCY MGR)
(313) 493-4900
Entity
Organization
Contact information
Practice address
15819 SCHOOLCRAFT ST, DETROIT, MI 48227-1749
(313) 493-4900
(313) 493-4904
Mailing address
15819 SCHOOLCRAFT ST, DETROIT, MI 48227-1749
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
5301008320
MI
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2368086
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/30/2006
Last updated
09/11/2025
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