Organization
HENRY FORD W BLOOMFILED PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ARI RICHARDSON RPH (PHARMACY COORDINATOR)
(248) 661-6488
Entity
Organization
Contact information
Practice address
6777 W MAPLE RD, W BLOOMFIELD, MI 48322-3013
(248) 661-6488
(248) 661-6489
Mailing address
6777 W MAPLE RD, W BLOOMFIELD, MI 48322-3013
(248) 661-6488
(248) 661-6489
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
5301003200
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5301003200
STATE ID NUMBER
MI
Enumeration date
09/12/2006
Last updated
08/22/2020
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