Organization
TRINITY HEALTH MICHIGAN
Active
Parent organization
TRINITY HEALTH MICHIGAN
Other names
Trinity Health Pharmacy - Detroit
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRINITY HEALTH MICHIGAN
Authorized official
MS. TAWANA MIDDLE NETTLES-ROBINSON (EXECUTIVE DIRECTOR)
(313) 692-8400
Entity
Organization
Contact information
Practice address
5555 CONNER ST STE 2691, DETROIT, MI 48213-3812
(313) 692-8400
(313) 692-8437
Mailing address
5555 CONNER ST, SUITE 2691, DETROIT, MI 48213-3448
(313) 579-4004
(313) 267-0057
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5301007421
STATE LICENSE
MI
Enumeration date
02/14/2007
Last updated
12/16/2022
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