Organization
DETROIT PHARMACY
Active
Organization
DETROIT PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IBRAHIM A CHAMI RPH (OWNER PHCST)
(734) 262-4600
Entity
Organization
Contact information
Practice address
18925 GRAND RIVER AVE, DETROIT, MI 48223-2273
(313) 272-1400
(313) 272-3816
Mailing address
PO BOX 530815, LIVONIA, MI 48153-0815
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301007942
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2366107
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
2366107
—
MI
Enumeration date
12/06/2006
Last updated
12/18/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up