Whalio Doctors

NPI 1215488689

Citizens Pharmacy INC

Organisation Health Maintenance Organization Detroit, MI

Practice location

Address
15537 Schoolcraft St, Detroit, MI 48227-1755
Phone
(313) 770-7771

Authorised official

Name
Nada Joudi
Title
Pharmacist
Phone
(313) 855-6500

Registered specialties

Health Maintenance Organization Primary
Managed Care Organizations Taxonomy 302R00000X Licence 5301011028 (MI)

Registry record

NPI
1215488689
Entity type
Organization
NPI issued
20 Oct 2016
Record last updated
20 Oct 2016

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.