Organization
RAINBOW CENTER OF MICHIGAN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WINNFRED GRIFFIN (CEO)
(313) 575-0884
Entity
Organization
Contact information
Practice address
12501 HAMILTON AVE, HIGHLAND PARK, MI 48203-3243
(313) 865-1580
(313) 865-1582
Mailing address
PO BOX 14947, DETROIT, MI 48214-0947
(313) 575-0884
(313) 865-1582
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
822164
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2371095
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
2604097
—
MI
Enumeration date
12/27/2006
Last updated
01/13/2020
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