Provider Demographics
NPI:1093104481
Name:IN HIM PHARMACEUTICAL SERVICES INC
Entity Type:Organization
Organization Name:IN HIM PHARMACEUTICAL SERVICES INC
Other - Org Name:A-V PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:NWAMMIRI
Authorized Official - Middle Name:
Authorized Official - Last Name:OKORAFOR
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:734-329-3041
Mailing Address - Street 1:35400 E MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:MI
Mailing Address - Zip Code:48184-1699
Mailing Address - Country:US
Mailing Address - Phone:734-331-9988
Mailing Address - Fax:734-331-4558
Practice Address - Street 1:35400 E MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:MI
Practice Address - Zip Code:48184-1699
Practice Address - Country:US
Practice Address - Phone:734-331-9988
Practice Address - Fax:734-331-4558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-22
Last Update Date:2015-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53010106213336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy