Organization
HENRY FORD HEALTH SYSTEM
Active
Organization
HENRY FORD HEALTH SYSTEM
Active
Other names
Henry Ford Medical Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL KUS RPH (VP AMBULATORY PHARMACY)
(248) 642-1111
Entity
Organization
Contact information
Practice address
6530 FARMINGTON RD, WEST BLOOMFIELD, MI 48322-3216
(248) 661-5333
(248) 661-5418
Mailing address
30100 TELEGRAPH RD, STE 200, BINGHAM FARMS, MI 48025-4514
(248) 642-1111
(248) 642-6094
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301008976
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2118154
PK
—
Enumeration date
12/12/2008
Last updated
12/02/2016
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