Individual provider · Type 1 NPI

Clyde Kenneth Godin Jr.

Pharmacist · Detroit, MI

NPI number 1477561157 Active

Practice location

4646 John R St
Detroit, MI 48201-1916

Call (313) 576-3386 Map

Mailing address

47000 Glenhurst Dr
Canton, MI 48187-4708

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X5302022397 (MI)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1477561157

Clyde Kenneth Godin Jr.'s National Provider Identifier is 1477561157, issued on Aug 4, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Detroit, MI. The record was last updated on Jul 8, 2007.