Organization · Type 2 NPI

Detroit Community Health Connection

Clinic Pharmacy · Detroit, MI

NPI number 1679737480 Active

Practice location

7900 Kercheval St
Detroit, MI 48214-2439

Call (313) 924-9798 Map

Fax (313) 924-6244

Mailing address

7900 Kercheval Street
Detroit, MI 48214

Specialties and licenses

Taxonomy	Code	License
Clinic Pharmacy Primary	3336C0002X	5301008896 (MI)

Clinic Pharmacy: A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

9 other providers at this address

Other clinic pharmacy providers in Detroit

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NPI record

NPI: 1679737480
Entity type: Organization (Type 2)
Issued: Jul 11, 2008
Last updated: Mar 22, 2019
Status: Active

Other names

<unavail>
Detroit Community Health Connection Pharmacy · doing business as
Detroit Community Health Connection Pharmacy · doing business as

Authorized official

Wayne W Bradley
President & CEO
(313) 343-2891

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1679737480

Detroit Community Health Connection's National Provider Identifier is 1679737480, issued on Jul 11, 2008. The primary taxonomy on file is Clinic Pharmacy (3336C0002X), and the practice location is in Detroit, MI. The record was last updated on Mar 22, 2019.