Organization
HENRY FORD MACOMB HOSPITAL WARREN CAMPUS LOBBY PHCY
Active
Other names
HENRY FORD MACOMB HOSPITAL WARREN CAMPUS LOBBY PHCY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HAYDEN RPH (PHARMACIST IN CHARGE)
(586) 759-7845
Entity
Organization
Contact information
Practice address
13355 E 10 MILE RD, WARREN, MI 48089-2048
(586) 759-7845
(586) 759-7790
Mailing address
13355 E 10 MILE RD, WARREN, MI 48089-2048
(586) 759-7845
(586) 759-7790
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301007342
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2362375
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
50012362375
—
MI
Enumeration date
05/12/2006
Last updated
06/09/2010
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