Organization
CARELAND PHARMACY AND MEDICAL SUPPLY PLLC
Active
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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