Organization
KNIGHT PRESCRIPTION SERVICES
Active
Other names
Knights Detroit Medical Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN DEJONGH (PRESIDENT OF OPERATIONS)
(248) 540-8066
Entity
Organization
Contact information
Practice address
4501 WOODWARD AVE, SUITE 104A, DETROIT, MI 48201-1890
(313) 832-5800
(313) 832-5802
Mailing address
2520 INDUSTRIAL ROW DR, TROY, MI 48084-7035
(248) 540-8066
(248) 540-0112
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
5301002041
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295728095
NPI
MI
01
—
2332738
NCPDP
MI
05
—
2541037
—
MI
Enumeration date
08/26/2005
Last updated
08/02/2013
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