Organization
DETROIT COMMUNITY HEALTH CONNECTION
Active
Other names
Detroit Community Health Connection Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE W BRADLEY SR. (PRESIDENT & CEO)
(313) 343-2891
Entity
Organization
Contact information
Practice address
7900 KERCHEVAL ST, DETROIT, MI 48214-2439
(313) 924-9798
(313) 924-6244
Mailing address
7900 KERCHEVAL STREET, DETROIT, MI 48214
(313) 924-9798
(313) 924-6244
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
5301008896
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679737480
—
MI
01
—
2116456
PK
—
Enumeration date
07/11/2008
Last updated
03/22/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up