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Organization

HENRY FORD HEALTH SYSTEM

Active
Other names
Henry Ford Medical Center Pharmacy Chrysler
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL KUS (VP AMBULATORY PHCY)
(248) 642-1111
Entity
Organization

Contact information

Practice address
800 CHRYSLER DR, STE W2001, AUBURN HILLS, MI 48326-2757
(248) 642-1111
Mailing address
30100 TELEGRAPH RD, STE 200, BINGHAM FARMS, MI 48025-4514
(248) 723-0291
(248) 642-6094

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301008862
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2371704
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
07/29/2008
Last updated
06/21/2010
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