Organization
WAYNE COUNTY JAIL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN CHARLES GAWRYK RPH (PHARMACY DIRECTOR)
(313) 224-7912
Entity
Organization
Contact information
Practice address
570 CLINTON ST, JAIL MEDICAL, DETROIT, MI 48226-2334
(313) 224-7912
(313) 224-0768
Mailing address
570 CLINTON ST, JAIL MEDICAL, DETROIT, MI 48226-2334
(313) 224-7912
(313) 224-0768
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
5301003163
MI
Other
Enumeration date
11/24/2008
Last updated
11/24/2008
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