Provider First Line Business Practice Location Address:
DETROIT HEALTH DEPART - PHARMACY
Provider Second Line Business Practice Location Address:
1151 TAYLOR STREET, 41 B
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:
313-876-4013
Provider Business Practice Location Address Fax Number:
313-876-0512
Provider Enumeration Date:
05/04/2007