Organization
CAREMERICA AT DETROIT LLC
Active
Other names
Caremerica
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE DYKE (CHIEF EXECUTIVE OFFICER)
(443) 750-1111
Entity
Organization
Contact information
Practice address
2255 FORT ST, LINCOLN PARK, MI 48146-2671
(313) 357-7500
(313) 357-7502
Mailing address
2255 FORT ST, LINCOLN PARK, MI 48146-2671
(313) 357-7500
(313) 357-7502
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301010076
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2139986
PK
—
Enumeration date
04/09/2013
Last updated
04/22/2013
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