Organization
COVENANT COMMUNITY CARE, INC.
Active
Organization
COVENANT COMMUNITY CARE, INC.
Active
Other names
Covenant Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC B. BLAKE (CHIEF COMPLIANCE OFFICER)
(740) 452-7685
Entity
Organization
Contact information
Practice address
5716 MICHIGAN AVE, DETROIT, MI 48210-3039
(740) 764-4670
Mailing address
5716 MICHIGAN AVE, DETROIT, MI 48210-3039
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/12/2026
Last updated
08/12/2026
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