Organization
DETROIT RIVERVIEW HOSPITAL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH WOODS (DIRECTOR)
(586) 753-1199
Entity
Organization
Contact information
Practice address
7733 E JEFFERSON AVE, DETROIT, MI 48214-3707
(313) 449-4031
(313) 449-4039
Mailing address
28000 DEQUINDRE, WARREN, MI 48095
(586) 228-4588
(586) 228-4595
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5301006653
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50-2323145
—
MI
Enumeration date
10/31/2006
Last updated
06/02/2016
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