Organization
GBOGBARA INC
Active
Parent organization
GBOGBARA INC
Other names
King Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
GBOGBARA INC
Authorized official
MR. LENYIE NGBOGBARA RPH (PRESIDENT)
(313) 331-8484
Entity
Organization
Contact information
Practice address
15200 GRATIOT AVE, DETROIT, MI 48205-1327
(313) 821-4449
(313) 332-0317
Mailing address
6202 GOLDEN LN, WEST BLOOMFIELD, MI 48322-3271
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
12/02/2020
Last updated
01/20/2021
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