Organization
DOWNRIVER COMMUNITY SERVICES INC
Active
Other names
DCS Pharmacy - New Haven
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA ROUSH (CEO)
(586) 339-1075
Entity
Organization
Contact information
Practice address
58144 GRATIOT AVE, NEW HAVEN, MI 48048
(586) 339-1075
(586) 339-1071
Mailing address
58144 GRATIOT AVE, PO BOX 480430, NEW HAVEN, MI 48048
(586) 270-8055
(586) 270-8064
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301009501
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679571392
—
MI
01
—
2375144
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/24/2011
Last updated
03/11/2011
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