Provider First Line Business Practice Location Address:
DETROIT HEALTH DEPT-HERMAN KIEFER PHARMACY DIVISION
Provider Second Line Business Practice Location Address:
1151 TAYLOR STREET, ROOM 41 B-WING
Provider Business Practice Location Address City Name:
DETROIT
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48202-1732
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
313-876-4018
Provider Business Practice Location Address Fax Number:
313-876-0512
Provider Enumeration Date:
03/23/2007