Organization
HENRY FORD HEALTH SYSTEM
Active
Other names
CENTER FOR SENIOR INDEPENDENCE PHCY
Organization subpart
No
Provider details
NPI number
Authorized official
KIM RICHARDS RPH MBA (PHARMACIST CLINICAL COORD)
(303) 653-2323
Entity
Organization
Contact information
Practice address
7800 W OUTER DR STE 240, DETROIT, MI 48235-3458
(313) 653-2323
(313) 653-2022
Mailing address
7800 W OUTER DR STE 240, DETROIT, MI 48235-3458
(313) 653-2323
(313) 653-2022
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
5301007269
MI
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2361830
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
4070184
—
MI
Enumeration date
06/22/2006
Last updated
05/04/2010
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