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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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