Organization
HENRY FORD WYANDOTTE HOSPITAL
Active
Other names
HFWH OUTPATIENT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAN KUS RPH (VP OF PHARMACY)
(248) 723-0255
Entity
Organization
Contact information
Practice address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
(734) 246-9499
(734) 246-6961
Mailing address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
(734) 246-9499
(734) 246-6961
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
5301004788
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2044000
PK
—
05
—
2357374
—
MI
Enumeration date
12/04/2006
Last updated
12/05/2016
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