Provider First Line Business Practice Location Address:
3031 W GRAND BLVD STE 800
Provider Second Line Business Practice Location Address:
HENRY FORD MEDICAL CENTER- PHARMACY
Provider Business Practice Location Address City Name:
DETROIT
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48202-3141
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
313-916-9661
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/13/2015