Organization
ADONAI PHARMACY LLC
Active
Organization
ADONAI PHARMACY LLC
Active
Other names
Adonai Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL ORUESEFIETA BOKAN (MEMBER)
(313) 258-1826
Entity
Organization
Contact information
Practice address
13641 E 7 MILE RD STE 2, DETROIT, MI 48205-2257
(313) 372-4100
(313) 625-6800
Mailing address
13641 E 7 MILE RD STE 2, DETROIT, MI 48205-2257
(313) 372-4100
(313) 625-6800
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598220501
—
MI
Enumeration date
02/04/2019
Last updated
07/14/2020
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