Organization
AXION INC
Active
Other names
PHARMACY 4 LESS V
Organization subpart
No
Provider details
NPI number
Authorized official
JUDE OBIAKOR (PHARMACIST)
(313) 891-2335
Entity
Organization
Contact information
Practice address
8139 E 7 MILE RD, DETROIT, MI 48234-3626
(313) 891-2335
(313) 891-2331
Mailing address
8139 E 7 MILE RD, DETROIT, MI 48234-3626
(313) 891-2335
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301010606
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255721411
—
MI
01
—
2149834
PK
—
Enumeration date
01/27/2015
Last updated
12/17/2015
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