Organization
GBOGBARA INC
Active
Organization
GBOGBARA INC
Active
Other names
King Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LENYIE N NGBOGBARA (PRESIDENT)
(313) 331-8484
Entity
Organization
Contact information
Practice address
12871 E JEFFERSON, DETROIT, MI 48215-2754
(313) 331-8484
(313) 331-1864
Mailing address
12871 E JEFFERSON, DETROIT, MI 48215-2754
(313) 331-8484
(313) 331-1864
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301006276
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3155302
—
MI
Enumeration date
08/31/2006
Last updated
12/09/2020
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