Organization
BENSTAR PHARMACY PLLC
Active
Other names
Benstar Pharmacy PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
UZOMA NWACHUKWU (SUPT. PHARMACIST/MANAGER)
(313) 995-2747
Entity
Organization
Contact information
Practice address
2510 E NEVADA ST, DETROIT, MI 48234-1461
(313) 334-5859
(313) 733-6115
Mailing address
2510 E NEVADA ST, DETROIT, MI 48234-1461
(313) 334-5859
(313) 733-6115
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301010006
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2377605
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/30/2013
Last updated
01/30/2013
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