Organization
CARELAND PHARMACY AND MEDICAL SUPPLY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VALANICHE ANICHE OGBONNAYA PHARMD (DIRECTOR PHARMACY OPERATIONS)
(313) 499-1352
Entity
Organization
Contact information
Practice address
11919 E WARREN AVE STE C, DETROIT, MI 48214-1641
(313) 499-1352
(313) 458-8989
Mailing address
11919 E WARREN AVE STE C, DETROIT, MI 48214-1641
(313) 499-1352
(313) 458-8989
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5301011552
BOARD OF PHARMACY, STATE OF MICHIGAN
MI
Enumeration date
03/19/2019
Last updated
03/19/2019
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