NPI 1003273202

Divine Pharmacy LLC

Organisation Community/Retail Pharmacy Detroit, MI

Practice location

Address: 16191 Livernois Avenue, Detroit, MI 48221
Phone: (313) 651-9059
Mailing address: 16191 Livernois Avenue, Detroit, MI 48221-3724

Authorised official

Name: Remy Onimoe
Title: Owner
Phone: (734) 657-1727

Registered specialties (2)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 5301010794 (MI)

Other Pharmacy providers in Michigan →

Pharmacy

Suppliers Taxonomy 333600000X

Registry record

NPI: 1003273202
Entity type: Organization
NPI issued: 20 Jan 2016
Record last updated: 7 Dec 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.