Organization
IN HIM PHARMACEUTICAL SERVICES
Active
Other names
A-V PHARMACY II
Organization subpart
No
Provider details
NPI number
Authorized official
NWAMMIRI OKORAFOR (PIC/OWNER)
(734) 331-9988
Entity
Organization
Contact information
Practice address
13535 PURITAN ST, DETROIT, MI 48227-3355
(313) 651-5290
(313) 651-5436
Mailing address
13535 PURITAN ST, DETROIT, MI 48227-3355
(313) 651-5290
(313) 651-5436
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301011035
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2165889
PK
—
Enumeration date
10/18/2016
Last updated
02/20/2017
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