Organization
THE WELLNESS PLAN MEDICAL CENTERS
Active
Other names
The Wellness Plan
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY V KING (CEO & EXECUTIVE DIRECTOR)
(313) 202-8550
Entity
Organization
Contact information
Practice address
4909 E OUTER DR, DETROIT, MI 48234-3446
(313) 366-2000
(313) 369-3950
Mailing address
7700 2ND AVE, DETROIT, MI 48202-2477
(313) 202-8660
(313) 202-8653
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301003705
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1887996
—
MI
01
—
2043107
PK
—
Enumeration date
06/08/2006
Last updated
08/13/2020
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